| Doctor Name: | DR. PHILIP DOUGLAS KELLEY |
| NPI Number: | 1033565346 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | 39901-20 |
| Business Practice Address: | 134 Western Ave Fond Du Lac, WI - 549354106 |
| Business Phone Number: | 9209293366 |
| Business Fax Number: | 9209296818 |
| Mailing Address: | 134 Western Ave, FOND DU LAC |
| State: | WI |
| Postal Code: | 549354106 |
| Phone Number: | 9209293366 |
| Fax Number: | 9209296818 |
| NPI Enumeration Date: | 05/05/2016 |
| NPI Last Update Date: | 05/05/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207ZF0201X |
| License Number: | 39901-20 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WI |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Pathology |
| Taxonomy Specialization: | Forensic Pathology |
| Taxonomy Definition: | A forensic pathologist is expert in investigating and evaluating cases of sudden, unexpected, suspicious and violent death as well as other specific classes of death defined by law. The forensic pathologist serves the public as coroner or medical examiner, or by performing medicolegal autopsies for such officials. |