Kelley, Michael Timothy

Kelley, Michael Timothy is an individual health care provider with primary practice located at 1166 Dublin Rd Suite 400, Columbus OH 43215-1030. He recently has only one registered license in Allopathic & Osteopathic Physicians / Occupational Medicine, which is considered as his primary health care specialty. Kelley, Michael Timothy can be contacted via phone (614) 544-4605.

Contact Information

Primary practice address
1166 Dublin Rd Suite 400 Columbus OH 43215-1030
Phone: (614) 544-4605
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Occupational Medicine 2083X0100X 35048006K Ohio
Allopathic & Osteopathic Physicians / Occupational Medicine 2083X0100X 39072 Kentucky

Profile Details

NPI number 1306822812
LBN Legal business name Kelley, Michael Timothy
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 16th, 2005
Last updated Nov 30th, 2016 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1306822812 NPPES
Ohio MEDICAID 0672811

Popular Providers