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Frederick Jay Kellaway, MD
Diagnostic Radiology Physician in Holland, Michigan
NPI 1679593982

Frederick Jay Kellaway is a Diagnostic Radiology Physician based in Grand Rapids, MI and is specialized in Diagnostic Radiology. Frederick Jay Kellaway practices in Holland, MI and has the professional credentials of MD. The NPI Number for Frederick Jay Kellaway is 1679593982 and holds a License No. 4301071423 (Michigan).

The current practice location address for Frederick Jay Kellaway is 602 Michigan Ave, Holland, MI and can be reached out via phone at 616-392-5141.

Location: 602 Michigan Ave, Holland, MI, 49525
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1679593982
Provider Name
Frederick Jay Kellaway
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
602 Michigan Ave, Holland, MI, 49525
Phone Number
616-392-5141
Fax Number
Provider Enumeration Date
07/20/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
602 Michigan Ave
City
Holland
State
Michigan
Zip
49423
Phone Number
616-392-5141
Fax Number
person
Provider Business Mailing Address Details
Address
602 Michigan Ave
City
Holland
State
Michigan
Zip
49423
Phone Number
616-392-5141
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
4301071423 (Michigan)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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