Jay Emerson Kellaway M.D.

NPI 1629129200 - Radiology - 2085R0202X

NPI Details
NPI 1629129200
Gender Male
Enumeration Date 01/12/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
10229 LAKESHORE DR
WEST OLIVE MI, 49460-9554, US
Phone (616) 842-6757
Fax (616) 842-7256
Business Location
10229 LAKESHORE DR
WEST OLIVE MI, 49460-9554, US
Phone (616) 842-6757
Fax (616) 842-7256
Toxanomy
Taxonomy Code 2085R0202X
License State Michigan
License Number 1686290
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According to our database, Dr. Jay Emerson Kellaway M.D. NPI is 1629129200, taxonomy code is 2085R0202X and license number is 1686290, license state is located at Michigan. Jay Emerson Kellaway M.D. physically located at 10229 Lakeshore Dr, West Olive MI, 49460-9554. NPI Number Jay Emerson Kellaway M.D. has the Individual type.

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1629129200 NPI number is provided on an as is basis without warranty of any kind. 1629129200 is maintained by the National Plan & Provider Enumeration System. The contents of Jay Emerson Kellaway M.D. are for informational purposes only.