Individual provider · Type 1 NPI

Teresa Gross Kelly, MD

Diagnostic Radiology Physician · Grand Rapids, MI

NPI number 1275580672 Active

Practice location

3264 N Evergreen Dr NE
Grand Rapids, MI 49525-9746

Fax (616) 361-5828

Other practice locations

  • 9000 W Wisconsin Ave, Pediatric Radiology, Milwaukee, WI 53226-4874 · (414) 266-1686
  • 9200 W Wisconsin Ave, Milwaukee, WI 53226-3522 · (414) 805-2060

Specialties and licenses

TaxonomyCodeLicense
Diagnostic Radiology Physician Primary 2085R0202X4301052060 (MI)
Pediatric Radiology Physician 2085P0229X52993 (WI)
Pediatric Radiology Physician 2085P0229XME70684 (FL)

Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

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About NPI 1275580672

Teresa Gross Kelly, MD's National Provider Identifier is 1275580672, issued on May 30, 2006. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Grand Rapids, MI. The record was last updated on Nov 26, 2024.