Organization Name: | DAVID P. KELSEY, M.D. KELSEY MEDICAL CENTER |
NPI Number: | 1952512311 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DAVID P KELSEY (OWNER) |
Mailing Address: | 5 W Madison Ave New Buffalo |
State: | MI US |
Postal Code: | 491171734 |
Phone Number: | 2694698484 |
Fax Number: | |
NPI Enumeration Date: | 05/25/2007 |
NPI Last Update Date: | 06/16/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 204F00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MI |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Transplant Surgery |
Taxonomy Specialization: | |
Taxonomy Definition: |