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Dr. Teresa Gross Kelly, MD
Pediatric Radiology Physician in Grand Rapids, Michigan
NPI 1275580672

Teresa Gross Kelly is a Pediatric Radiology Physician based in Grand Rapids, MI and is specialized in Pediatric Radiology. Teresa Gross Kelly practices in Grand Rapids, MI and has the professional credentials of MD. The NPI Number for Teresa Gross Kelly is 1275580672 and holds a License No. 4301052060 (Michigan).

The current practice location address for Teresa Gross Kelly is 3264 N Evergreen Dr Ne, Grand Rapids, MI and can be reached out via phone at 616-363-7272 and via fax at 616-361-5828.

Location: 3264 N Evergreen Dr Ne, Grand Rapids, MI, 49525-9746
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1275580672
Provider Name
Teresa Gross Kelly
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
3264 N Evergreen Dr Ne, Grand Rapids, MI, 49525-9746
Phone Number
616-363-7272
Fax Number
616-361-5828
Provider Enumeration Date
05/30/2006
Last Update Date
12/14/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1275580672 05 WI
250150300 05 FL
institution
Provider Business Practice Location Address Details
Address
3264 N Evergreen Dr Ne
City
Grand Rapids
State
Michigan
Zip
49525-9746
Phone Number
616-363-7272
Fax Number
616-361-5828
person
Provider Business Mailing Address Details
Address
3264 N Evergreen Dr Ne
City
Grand Rapids
State
Michigan
Zip
49525-9746
Phone Number
616-363-7272
Fax Number
616-361-5828
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Pediatric Radiology
Taxonomy
2085P0229X
License No.
52993 (Wisconsin)
Definition
A radiologist who is proficient in all forms of diagnostic imaging as it pertains to the treatment of diseases in the newborn, infant, child and adolescent. This specialist has knowledge of both imaging and interventional procedures related to the care and management of diseases of children. A pediatric radiologist must be highly knowledgeable of all organ systems as they relate to growth and development, congenital malformations, diseases peculiar to infants and children and diseases that begin in childhood but cause substantial residual impairment in adulthood.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
4301052060 (Michigan)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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