Frederick Jay Kellaway MD

NPI 1679593982 - Radiology - 2085R0202X

NPI Details
NPI 1679593982
Gender Male
Enumeration Date 07/20/2006
Last Updated 07/12/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
602 MICHIGAN AVE
HOLLAND MI, 49423, US
Phone (616) 392-5141
Fax
Business Location
3264 N EVERGREEN DR NE
STE 101
GRAND RAPIDS MI, 49525, US
Phone (616) 363-7272
Fax (616) 363-7290
Toxanomy
Taxonomy Code 2085R0202X
License State Michigan
License Number 4301071423
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According to our database, Frederick Jay Kellaway MD NPI is 1679593982, taxonomy code is 2085R0202X and license number is 4301071423, license state is located at Michigan. Frederick Jay Kellaway MD physically located at 602 Michigan Ave, Holland MI, 49423. NPI Number Frederick Jay Kellaway MD has the Individual type.

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1679593982 NPI number is provided on an as is basis without warranty of any kind. 1679593982 is maintained by the National Plan & Provider Enumeration System. The contents of Frederick Jay Kellaway MD are for informational purposes only.