Jeffrey Kelly, D.O

NPI 1770565384 · on the registry since 2005

Practice

Address: 3643 W Front St
Suite A
Traverse City, MI 49684
Phone: (231) 935-0620
Fax: (231) 935-0626
Organisation at this address: Associates In Dermatology Of Traverse City Pc
Northern Michigan Medicine And Pediatrics, Pllc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 11

Registry record

Primary taxonomy: 207N00000X
207N00000X
Also registered as: 207N00000X
Licence states on file: GA, MI
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2013-07-24

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 Michigan