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Michael Kelly, R.PH

NPI 1356856348 · on the registry since 2017

Practice

Address
1217 E Ireland Rd
South Bend, IN 46614
Phone
(574) 291-0740
Organisation at this address
Kroger Limited Partnership I
Inferred from a shared address, not stated in the registry.
Clinicians at this address
6

Registry record

Primary taxonomy
183500000X
183500000X
Also registered as
1835P0018X
Licence states on file
MI, IN
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2026-08-12
Status
Not present in the most recent federal file

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