Charles Walter Kelley III
Foot Surgery
3401 E Raymond St
Indianapolis
, Indiana 46203-4744
Charles Walter Kelley III
Foot Surgery
3401 E Raymond St
Indianapolis
, Indiana 46203-4744
(317) 781-4868
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About
Features
Specialties
- Foot Surgery
Languages spoken
- English
Location
First Address
- Charles Walter Kelley III
- 3401 E Raymond St
- Indianapolis, IN
- Zip : 46203-4744
- Fax : (317) 781-4868
- Phone : (317) 788-9769
Second Address
- Charles Walter Kelley III
- 3401 E Raymond St
- Indianapolis, IN
- Zip : 46203-4744
- Fax : (317) 781-4868
- Phone : (317) 788-9769
Reviews
FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 213ES0131X | Foot Surgery | 070000355 | IN |
National Provider Identifier
| NPI | 1023010980 |
|---|---|
| Provider Name | Charles Walter Kelley III |
| First Address | Indianapolis, IN 46203-4744 |
| Second Address | Indianapolis, IN 46203-4744 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 11/08/2005 |
| Last Update Date | 16/05/2011 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 100058130 | (05) | IN |
| T34505 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.