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Ian Kelley
NPI 1821701194 · on the registry since 2023
Practice
- Address
- 13329 Portage Rd
Vicksburg, MI 49097 - Phone
- (269) 649-2400
- Fax
- (269) 649-0548
- Clinicians at this address
- 4
Additional practice sites
- 7119 W Q Ave, Kalamazoo, MI
- 3282 Stadium Dr, Kalamazoo, MI
- 1423 W Centre Ave, Portage, MI
Registry record
- Primary taxonomy
- 225100000X
225100000X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-01-03
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