Individual
MR. MICHAEL KELLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ARNP
Contact information
Practice address
830 1ST AVE NE, CEDAR RAPIDS, IA 52402-5004
(319) 369-7173
Mailing address
830 1ST AVE NE, CEDAR RAPIDS, IA 52402-5004
(319) 369-7173
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
A157312
IA
Other
Enumeration date
12/31/2019
Last updated
07/21/2023
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