Individual
DR. GEORGE JOHN KELEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., F.A.C.C.
Contact information
Practice address
102 E LUDINGTON AVE, LUDINGTON, MI 49431-2191
(231) 425-4590
(231) 425-4588
Mailing address
102 E LUDINGTON AVE, LUDINGTON, MI 49431-2191
(231) 425-4590
(231) 425-4588
Taxonomy
Speciality
Code
Description
License number
State
246X00000X
Cardiovascular Specialist/Technologist
Primary
4301079843
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4579580
—
MI
01
—
DA9989
RAILROAD MEDICARE
MI
Enumeration date
09/20/2005
Last updated
06/09/2014
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