| Doctor Name: | DR. LEROY J KELLEY |
| NPI Number: | 1003897034 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | DPM |
| License Number: | 1496 |
| Business Practice Address: | 480 Washington St Suite 1 Norwood, MA - 020622347 |
| Business Phone Number: | 7817624205 |
| Business Fax Number: | 7812557905 |
| Mailing Address: | 480 Washington St, Suite 1 NORWOOD |
| State: | MA |
| Postal Code: | 020622347 |
| Phone Number: | 7817624205 |
| Fax Number: | 7812557905 |
| NPI Enumeration Date: | 11/08/2005 |
| NPI Last Update Date: | 01/10/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 213ES0131X |
| License Number: | 1496 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MA |
| Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
| Taxonomy Classification: | Podiatrist |
| Taxonomy Specialization: | Foot Surgery |
| Taxonomy Definition: | |