Individual provider · Type 1 NPI

Jack Leslie Kelley, MD

Surgery Physician · Lafayette, IN

NPI number 1710956065 Active

Practice location

1500 Salem St
Lafayette, IN 47904-2164

Call (765) 448-8000 Map

Fax (765) 448-8337

Mailing address

PO Box 5545
Lafayette, IN 47903-5545

Specialties and licenses

TaxonomyCodeLicense
Surgery Physician Primary 208600000X01022437A (IN)

Surgery Physician: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasin…

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About NPI 1710956065

Jack Leslie Kelley, MD's National Provider Identifier is 1710956065, issued on Mar 17, 2006. The primary taxonomy on file is Surgery Physician (208600000X), and the practice location is in Lafayette, IN. The record was last updated on Jul 23, 2012.