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Neil R Kelley

Podiatrist Radiology Foot & Ankle Surgery

1730 Main St
Fortuna , California 95540-2451

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Neil R Kelley

Podiatrist Radiology Foot & Ankle Surgery

1730 Main St
Fortuna , California 95540-2451

(707) 725-2756

Write a Review Save Call

Neil R Kelley

Podiatrist Radiology Foot & Ankle Surgery

1730 Main St
Fortuna , California 95540-2451

(707) 725-2756 Call

Write a Review Save

About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Podiatrist
  • Radiology
  • Foot & Ankle Surgery

Languages spoken

  • English

Location

1730 Main St Fortuna , California 95540-2451

First Address

  • Neil R Kelley
  • 1730 Main St
  • Fortuna, CA
  • Zip : 95540-2451
  • Fax : (707) 725-2756
  • Phone : (707) 725-5223

Second Address

  • Neil R Kelley
  • 1730 Main St
  • Fortuna, CA
  • Zip : 95540-2451
  • Fax : (707) 725-2756
  • Phone : (707) 725-5223

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FAQs


Where did Neil R Kelley attend graduate school?

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Where did Neil R Kelley do his residency?

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Where did Neil R Kelley do his fellowship?

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Is Neil R Kelley board certified?

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What type of doctor is Neil R Kelley

Podiatrist

In what state does Neil R Kelley practice in?

California

Where is Neil R Kelley ’s practice located?

1730 Main St , Fortuna, California, 95540-2451

What is Neil R Kelley ’s gender?

Male

Is Neil R Kelley a sole practitioner?

No

Is Neil R Kelley accepting new patients?

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What languages does Neil R Kelley speak?

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Does Neil R Kelley accept insurance?

Yes, Neil R Kelley accepts insurance

Does Neil R Kelley offers telemedicine?

Neil R Kelley has not indicated if he offers telemedicine

What is Neil R Kelley ’s professional license number?

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What is Neil R Kelley ’s NPI number?

1437184025

Does Neil R Kelley have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
Y 213E00000X Podiatrist 000E23210 CA
Y 222Z00000X Podiatrist 000E23210 CA
N 111NR0200X Radiology 000E23210 CA
N 213ER0200X Radiology 000E23210 CA
N 213ES0103X Foot & Ankle Surgery 000E23210 CA

National Provider Identifier

NPI 1437184025
Provider Name Neil R Kelley
First Address Fortuna, CA 95540-2451
Second Address Fortuna, CA 95540-2451
Gender M
NPI Entity type Individual
Is Sole Proprietor No
Is Organization Subpart N/A
Enumeration Date 11/07/2006
Last Update Date 27/03/2014

Additional Identifiers

IDENTIFIER TYPE / CODE IDENTIFIER STATE
201857499 BLUE CROSS (01) CA
GRE001770 (05) CA
T11285 (02) CA
ZZZ64278Z BLUE SHIELD (01) CA

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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