Individual
MICHAEL H. KELLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
3361 HIGHWAY 9 E, LITTLE RIVER, SC 29566-7826
(843) 497-5929
(843) 399-3494
Mailing address
4615 OLEANDER DR, SUITE 201A, MYRTLE BEACH, SC 29577-5741
(843) 497-5929
(843) 497-6601
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
34-003256
OH
207Q00000X
Family Medicine Physician
Primary
TL1223
SC
Other
Enumeration date
12/01/2006
Last updated
08/09/2011
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