institution
Thomas A. Kelly D.o. P.c.
General Practice Physician in Eaton Rapids, Michigan
NPI 1366689275

Thomas A. Kelly D.o. P.c. is a General Practice Physician based in Eaton Rapids, MI. Thomas A. Kelly D.o. P.c. practices in Eaton Rapids, MI. The NPI Number for Thomas A. Kelly D.o. P.c. is 1366689275 and holds a License No. 5101008344 (Michigan).

The current practice location address for Thomas A. Kelly D.o. P.c. is 101 E Spicerville Hwy, Eaton Rapids, MI and can be reached out via phone at 517-663-2705 and via fax at 517-663-9470.

Location: 101 E Spicerville Hwy, Eaton Rapids, MI, 48827-0417
institution
Provider Profile Details
NPI Number
1366689275
Provider Name
Thomas A. Kelly D.o. P.c.
Credential
Provider Entity Type
Organization
Address
101 E Spicerville Hwy, Eaton Rapids, MI, 48827-0417
Phone Number
517-663-2705
Fax Number
517-663-9470
Provider Enumeration Date
01/14/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0152330085 01 MI BLUE CROSS BLUE SHIELD PPO TRUST
10046150001 01 MI THE WELLNESS PLAN MEDICAID
0279722 01 CIGNA HEALTHCARE
0100444 01 PHYSICIAN HEALTH PLAN
0152330085 01 MI BLUE CHOICE
3319192 05 MI
0152330085 01 MI BLUE CROSS BLUE SHIELD MEDICAL PIN
10046150001 01 MI THE WELLNESS PLAN
202869 01 MI MCLAREN
0152330085 01 MI BLUE PREFFERED PLUS
P93421 01 MI BLUE CARE NETWORK
200000002219 01 MI PHYSICIAN HEALTH PLAN FAMILY CARE
M034742 01 CHAMPUS
institution
Provider Business Practice Location Address Details
Address
101 E Spicerville Hwy
City
State
Zip
48827-1919
Phone Number
517-663-2705
Fax Number
517-663-9470
person
Provider Business Mailing Address Details
Address
101 E Spicerville Hwy
City
State
Zip
48827-1919
Phone Number
517-663-2705
Fax Number
517-663-9470
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
License No.
5101008344 (Michigan)
Definition
Definition to come...
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