Individual
DR. MARTIN J. KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
901 MACARTHUR BLVD, MUNSTER, IN 46321-2901
(219) 836-4571
(219) 836-4596
Mailing address
901 MACARTHUR BLVD, MUNSTER, IN 46321-2901
(219) 836-4571
(219) 836-4596
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
36-085296
IL
Other
Enumeration date
02/15/2006
Last updated
04/01/2016
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