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Neil R Kelley, DPM
Foot & Ankle Surgery Podiatrist in Fortuna, California
NPI 1437184025

Neil R Kelley is a Foot & Ankle Surgery Podiatrist based in Fortuna, CA and is specialized in Foot & Ankle Surgery. Neil R Kelley practices in Fortuna, CA and has the professional credentials of DPM. The NPI Number for Neil R Kelley is 1437184025 and holds a License No. 000E23210 (California).

The current practice location address for Neil R Kelley is 1730 Main St, Fortuna, CA and can be reached out via phone at 707-725-5223 and via fax at 707-725-2756.

Location: 1730 Main St, Fortuna, CA, 95540-2451
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1437184025
Provider Name
Neil R Kelley
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
1730 Main St, Fortuna, CA, 95540-2451
Phone Number
707-725-5223
Fax Number
707-725-2756
Provider Enumeration Date
07/11/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
GRE001770 05 CA
ZZZ64278Z 01 CA BLUE SHIELD
201857499 01 CA BLUE CROSS
institution
Provider Business Practice Location Address Details
Address
1730 Main St
City
Fortuna
State
California
Zip
95540-2451
Phone Number
707-725-5223
Fax Number
707-725-2756
person
Provider Business Mailing Address Details
Address
1730 Main St
City
Fortuna
State
California
Zip
95540-2451
Phone Number
707-725-5223
Fax Number
707-725-2756
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
-
Taxonomy
213E00000X
License No.
000E23210 (California)
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
person
Provider's Taxonomy Details 2
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Radiology
Taxonomy
213ER0200X
License No.
000E23210 (California)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
213ES0103X
License No.
000E23210 (California)
Definition
Definition to come...
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