Individual
DR. JOHN T KELLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
269 N 1ST AVE, IOWA CITY, IA 52245-3645
(319) 351-6852
(319) 351-2025
Mailing address
200 HAWKINS DR, IOWA CITY, IA 52242-1009
(319) 351-6852
(319) 351-2025
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD-18671
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0159277
—
IA
01
—
03090
BLUECROSS/BLUESHIELD
IA
Enumeration date
02/14/2006
Last updated
04/17/2024
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