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John S Kelly

Geriatric Medicine

710 Franklin St Suite 200
Michigan City , Indiana 46360-3563

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John S Kelly

Geriatric Medicine

710 Franklin St Suite 200
Michigan City , Indiana 46360-3563

(219) 864-2649

Write a Review Save Call

John S Kelly

Geriatric Medicine

710 Franklin St Suite 200
Michigan City , Indiana 46360-3563

(219) 864-2649 Call

Write a Review Save

About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Geriatric Medicine

Languages spoken

  • English

Location

710 Franklin St Suite 200 Michigan City , Indiana 46360-3563

First Address

  • John S Kelly
  • Po Box 2000
  • Dyer, IN
  • Zip : 46311-0900
  • Fax : (219) 864-2649
  • Phone : (219) 864-2107

Second Address

  • John S Kelly
  • 710 Franklin St Suite 200
  • Michigan City, IN
  • Zip : 46360-3563
  • Fax : (219) 879-2915
  • Phone : (219) 872-6200

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FAQs


Where did John S Kelly attend graduate school?

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Where did John S Kelly do his residency?

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Where did John S Kelly do his fellowship?

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Is John S Kelly board certified?

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What type of doctor is John S Kelly

Geriatric Medicine

In what state does John S Kelly practice in?

Indiana

Where is John S Kelly ’s practice located?

710 Franklin St Suite 200 , Michigan City, Indiana, 46360-3563

What is John S Kelly ’s gender?

Male

Is John S Kelly a sole practitioner?

No

Is John S Kelly accepting new patients?

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What languages does John S Kelly speak?

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Does John S Kelly accept insurance?

Yes, John S Kelly accepts insurance

Does John S Kelly offers telemedicine?

John S Kelly has not indicated if he offers telemedicine

What is John S Kelly ’s professional license number?

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What is John S Kelly ’s NPI number?

1033104849

Does John S Kelly have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
Y 207RG0300X Geriatric Medicine 01024423A IN

National Provider Identifier

NPI 1033104849
Provider Name John S Kelly
First Address Dyer, IN 46311-0900
Second Address Michigan City, IN 46360-3563
Gender M
NPI Entity type Individual
Is Sole Proprietor No
Is Organization Subpart N/A
Enumeration Date 19/09/2005
Last Update Date 24/02/2021

Additional Identifiers

IDENTIFIER TYPE / CODE IDENTIFIER STATE
200030090 (05) IN
D69721 (02)

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
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?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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