Dr. Leroy J Kelley III
Podiatrist Foot Surgery
24 Walpole St Fl 1
Norwood
, Massachusetts 02062-3356
Dr. Leroy J Kelley III
Podiatrist Foot Surgery
24 Walpole St Fl 1
Norwood
, Massachusetts 02062-3356
(781) 255-7905
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About
Features
Specialties
- Podiatrist
- Foot Surgery
Languages spoken
- English
Location
First Address
- Dr. Leroy J Kelley III
- 24 Walpole St Fl 1
- Norwood, MA
- Zip : 02062-3356
- Fax : (781) 255-7905
- Phone : (781) 762-4205
Second Address
- Dr. Leroy J Kelley III
- 24 Walpole St Fl 1
- Norwood, MA
- Zip : 02062-3356
- Fax : (781) 255-7905
- Phone : (781) 762-4205
Reviews
FAQs
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Is Dr. Leroy J Kelley III a sole practitioner?
Is Dr. Leroy J Kelley III accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | 1496 | MA |
| Y | 222Z00000X | Podiatrist | 1496 | MA |
| N | 213ES0131X | Foot Surgery | 1496 | MA |
National Provider Identifier
| NPI | 1003897034 |
|---|---|
| Provider Name | Dr. Leroy J Kelley III |
| First Address | Norwood, MA 02062-3356 |
| Second Address | Norwood, MA 02062-3356 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 08/11/2005 |
| Last Update Date | 01/12/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 0335797 | (05) | MA |
| 042715679 | TAX ID (01) | MA |
| 1496 | STATE ID (01) | MA |
| LXO122 | PTAN (01) | MA |
| V09521 | UPIN (01) | MA |
| Y70632 | BC/BS (01) | MA |
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.