SearchIndiana208G00000X

James Kelly, MD, MBA

NPI 1174608442 · on the registry since 2006 · sole proprietor

Practice

Address
17022 Shandwick Lane
Granger, IN 46530
Phone
(574) 277-9156
Fax
(574) 271-5639

Registry record

Primary taxonomy
208G00000X
208G00000X
Also registered as
208G00000X
Licence states on file
IN
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2016-01-15

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana