Individual
DR. JAY EMERSON KELLAWAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10229 LAKESHORE DR, WEST OLIVE, MI 49460-9554
(616) 842-6757
(616) 842-7256
Mailing address
10229 LAKESHORE DR, WEST OLIVE, MI 49460-9554
(616) 842-6757
(616) 842-7256
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
1686290
MI
Other
Enumeration date
01/12/2007
Last updated
07/08/2007
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