National Provider Identifier Database

NEIL R KELLEY, DPM – NPI #1437184025
Podiatrist

A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.


Contact Information

NEIL R KELLEY, DPM
1730 MAIN ST
FORTUNA, CA95540-2451
Phone: 707-725-5223
Fax: 707-725-2756
Website:
Specialty Taxonomy Code
* Podiatrist 213E00000X
Radiology 213ER0200X
Surgery, Foot & Ankle 213ES0103X

* Indicates primary specialty

NPI Profile & details for NEIL R KELLEY

NPI Number 1437184025
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 07/11/2006
Last updated 03/27/2014 - About 12 years ago
Sole proprietor1 No
Identifiers
  • CA License #: 000E23210
  • CA Medicaid: GRE001770
  • CA Other: 201857499 BLUE CROSS
  • CA Other: ZZZ64278Z BLUE SHIELD
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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