Individual provider · Type 1 NPI
Kent R. Kelley, MD
Specialist · Chicago, IL
NPI number
1184774838
Active
Practice location
2300 N Childrens Plz # 29
Chicago, IL 60614-3363
Fax (773) 868-8904
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | None listed |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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About NPI 1184774838
Kent R. Kelley, MD's National Provider Identifier is 1184774838, issued on Jan 12, 2007. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Chicago, IL. The record was last updated on Jul 8, 2007.