Individual provider · Type 1 NPI
Charles Walter Kelley Iii, DPM
Foot Surgery Podiatrist · Indianapolis, IN
NPI number
1023010980
Active
Practice location
3401 E Raymond St
Indianapolis, IN 46203-4744
Fax (317) 781-4868
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Foot Surgery Podiatrist Primary | 213ES0131X | 070000355 (IN) |
Foot Surgery Podiatrist: Definition to come...
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About NPI 1023010980
Charles Walter Kelley Iii, DPM's National Provider Identifier is 1023010980, issued on Aug 11, 2005. The primary taxonomy on file is Foot Surgery Podiatrist (213ES0131X), and the practice location is in Indianapolis, IN. The record was last updated on May 16, 2011.