Individual
DR. DAVID P KELSEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5 W MADISON AVE, NEW BUFFALO, MI 49117-1734
(269) 469-8484
Mailing address
5 W MADISON AVE, NEW BUFFALO, MI 49117-1734
(269) 469-8484
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301054090
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
105177828
—
MI
Enumeration date
11/29/2005
Last updated
05/13/2008
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