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Jack Leslie Kelley, MD
Surgery Physician in Lafayette, Indiana
NPI 1710956065

Jack Leslie Kelley is a Surgery Physician based in Lafayette, IN. Jack Leslie Kelley practices in Lafayette, IN and has the professional credentials of MD. The NPI Number for Jack Leslie Kelley is 1710956065 and holds a License No. 01022437A (Indiana).

The current practice location address for Jack Leslie Kelley is 1500 Salem St, Lafayette, IN and can be reached out via phone at 765-448-8000 and via fax at 765-448-8337. You can also correspond with Jack Leslie Kelley through the mailing address at PO BOX 5545, LAFAYETTE, IN - 47903-5545 (mailing address contact number: 765-448-8000).

Location: 1500 Salem St, Lafayette, IN, 47903-5545
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1710956065
Provider Name
Jack Leslie Kelley
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1500 Salem St, Lafayette, IN, 47903-5545
Phone Number
765-448-8000
Fax Number
765-448-8337
Provider Enumeration Date
03/17/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000000197818 01 IN ANTHEM PROVIDER NUMBER
KE80251002 05 IN
100230510 05 IN
10825369 01 IN CAQH NUMBER
9017025 01 IN PHCS PID NUMBER
institution
Provider Business Practice Location Address Details
Address
1500 Salem St
City
Lafayette
State
Indiana
Zip
47904-2164
Phone Number
765-448-8000
Fax Number
765-448-8337
person
Provider Business Mailing Address Details
Address
1500 Salem St
City
Lafayette
State
Indiana
Zip
47904-2164
Phone Number
765-448-8000
Fax Number
765-448-8337
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Surgery
Speciality
-
Taxonomy
208600000X
License No.
01022437A (Indiana)
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
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