NPI 1023010980

Charles Walter Kelley, DPM

Practitioner Foot Surgery Podiatrist Indianapolis, IN

Practice location

Address: 3401 E Raymond St, Indianapolis, IN 46203-4744
Phone: (317) 788-9769
Fax: (317) 781-4868

Registered specialties

Foot Surgery Podiatrist Primary

Podiatric Medicine & Surgery Service Providers Taxonomy 213ES0131X Licence 070000355 (IN)

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Registry record

NPI: 1023010980
Entity type: Individual
Sex (as registered): Male
NPI issued: 11 Aug 2005
Record last updated: 16 May 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.