Organization · Type 2 NPI

Kelly R Whaley

Primary Podiatric Medicine Podiatrist · Willowick, OH

NPI number 1609146240 Active

Practice location

144 Larimar Dr
Willowick, OH 44095-5212

Fax (440) 975-1963

Mailing address

PO Box 182
Wickliffe, OH 44092-0182

Specialties and licenses

TaxonomyCodeLicense
Primary Podiatric Medicine Podiatrist Primary 213EP1101X36003068 (OH)

Primary Podiatric Medicine Podiatrist: Definition to come...

Another provider at this address

About NPI 1609146240

Kelly R Whaley's National Provider Identifier is 1609146240, issued on Jan 12, 2012. The primary taxonomy on file is Primary Podiatric Medicine Podiatrist (213EP1101X), and the practice location is in Willowick, OH. The record was last updated on May 20, 2025.