Individual
DR. JOHN MICHAEL KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
4266 STATE ST, SAGINAW, MI 48603-4028
(989) 792-6702
(989) 792-1128
Mailing address
4266 STATE ST, SAGINAW, MI 48603-4028
(989) 792-6702
(989) 792-1128
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
JK004908
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0993966
HEALTH PLUS
MI
01
—
0G35022
BCN
MI
05
—
1535385
—
MI
01
—
350005936
RAILROAD MEDICARE
MI
01
—
950G350220
BCBS PIN
MI
Enumeration date
07/26/2005
Last updated
03/15/2011
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