Individual provider · Type 1 NPI
Jay Emerson Kellaway, MD
Diagnostic Radiology Physician · West Olive, MI
NPI number
1629129200
Active
Practice location
10229 Lakeshore Dr
West Olive, MI 49460-9554
Fax (616) 842-7256
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Diagnostic Radiology Physician Primary | 2085R0202X | 1686290 (MI) |
Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
About NPI 1629129200
Jay Emerson Kellaway, MD's National Provider Identifier is 1629129200, issued on Jan 12, 2007. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in West Olive, MI. The record was last updated on Jul 8, 2007.