Organization
CHARLES W. KELLEY III D.P.M.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES WALTER KELLEY III D.P.M. (SOLE PROPRIETOR)
(317) 786-2239
Entity
Organization
Contact information
Practice address
5602 MADISON AVE, INDIANAPOLIS, IN 46227-4625
(317) 786-2239
(317) 784-2055
Mailing address
5602 MADISON AVE, INDIANAPOLIS, IN 46227-4625
(317) 786-2239
(317) 784-2055
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
07000355A
IN
Other
Enumeration date
11/26/2008
Last updated
02/18/2009
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