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Dr. Michael Earl Kelly, DO
Emergency Medicine Physician in Watervliet, Michigan
NPI 1164474631

Michael Earl Kelly is a Emergency Medicine Physician based in Watervliet, MI. Michael Earl Kelly practices in Watervliet, MI and has the professional credentials of DO. The NPI Number for Michael Earl Kelly is 1164474631 and holds a License No. 5101009399 (Michigan).

The current practice location address for Michael Earl Kelly is 420 Medical Park Dr, Watervliet, MI and can be reached out via phone at 269-463-3600 and via fax at 269-463-5356.

Location: 420 Medical Park Dr, Watervliet, MI, 49098-9237
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1164474631
Provider Name
Michael Earl Kelly
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
420 Medical Park Dr, Watervliet, MI, 49098-9237
Phone Number
269-463-3600
Fax Number
269-463-5356
Provider Enumeration Date
05/16/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
93384289 01 MI RR MEDICARE
11-5193581 HARTFORD 05 MI
3025952-11 01 MI MEDICAID - THREE RIVERS
4155933-11 01 MI MEDICAID - PIPP
MK009399 01 MI BCBS IND LIC #
11-4924242 COLOMA 05 MI
5391075 01 MI BCBS IND PIN #
G56008112 01 MI MEDICARE - THREE RIVERS
93384289 01 MI RR MEDICARE - PIPP
institution
Provider Business Practice Location Address Details
Address
420 Medical Park Dr
City
Watervliet
State
Michigan
Zip
49098-9237
Phone Number
269-463-3600
Fax Number
269-463-5356
person
Provider Business Mailing Address Details
Address
420 Medical Park Dr
City
Watervliet
State
Michigan
Zip
49098-9237
Phone Number
269-463-3600
Fax Number
269-463-5356
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Emergency Medicine
Speciality
-
Taxonomy
207P00000X
License No.
5101009399 (Michigan)
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
5101009399 (Michigan)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
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