Charles Walter Kelley III DPM

NPI 1023010980 - Podiatrist - 213ES0131X

NPI Details
NPI 1023010980
Gender Male
Enumeration Date 08/11/2005
Last Updated 05/16/2011
Entity Type Individual
Active Over 11 years ago
Practice Location
3401 E RAYMOND ST
INDIANAPOLIS IN, 46203-4744, US
Phone (317) 788-9769
Fax (317) 781-4868
Business Location
3401 E RAYMOND ST
INDIANAPOLIS IN, 46203-4744, US
Phone (317) 788-9769
Fax (317) 781-4868
Toxanomy
Taxonomy Code 213ES0131X
License State Indiana
License Number 070000355
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According to our database, Charles Walter Kelley III DPM NPI is 1023010980, taxonomy code is 213ES0131X and license number is 070000355, license state is located at Indiana. Charles Walter Kelley III DPM physically located at 3401 E Raymond St, Indianapolis IN, 46203-4744. NPI Number Charles Walter Kelley III DPM has the Individual type.

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1023010980 NPI number is provided on an as is basis without warranty of any kind. 1023010980 is maintained by the National Plan & Provider Enumeration System. The contents of Charles Walter Kelley III DPM are for informational purposes only.