person
Charles Walter Kelley III, DPM
Foot Surgery Podiatrist in Indianapolis, Indiana
NPI 1023010980

Charles Walter Kelley III is a Foot Surgery Podiatrist based in Indianapolis, IN and is specialized in Foot Surgery. Charles Walter Kelley III practices in Indianapolis, IN and has the professional credentials of DPM. The NPI Number for Charles Walter Kelley III is 1023010980 and holds a License No. 070000355 (Indiana).

The current practice location address for Charles Walter Kelley III is 3401 E Raymond St, Indianapolis, IN and can be reached out via phone at 317-788-9769 and via fax at 317-781-4868.

Location: 3401 E Raymond St, Indianapolis, IN, 46203-4744
person
Provider Profile Details
NPI Number
1023010980
Provider Name
Charles Walter Kelley III
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
3401 E Raymond St, Indianapolis, IN, 46203-4744
Phone Number
317-788-9769
Fax Number
317-781-4868
Provider Enumeration Date
08/11/2005
Last Update Date
03/08/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
100058130 05 IN
institution
Provider Business Practice Location Address Details
Address
3401 E Raymond St
City
State
Zip
46203-4744
Phone Number
317-788-9769
Fax Number
317-781-4868
person
Provider Business Mailing Address Details
Address
3401 E Raymond St
City
State
Zip
46203-4744
Phone Number
317-788-9769
Fax Number
317-781-4868
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot Surgery
Taxonomy
License No.
070000355 (Indiana)
Definition
Definition to come...
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