DR. PHILIP DOUGLAS KELLEY M.D. NPI 1033565346

NPI Information

NPI: 1033565346
Provider Name: DR. PHILIP DOUGLAS KELLEY, M.D.
Classification: Pathology - 207ZF0201X
Entity Type: Individual

Specialization: Forensic Pathology

Address:
134 WESTERN AVE
FOND DU LAC, WI
ZIP 54935
Phone: (920) 929-3366
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DR. Philip Douglas Kelley, M.D. is a forensic pathology pathology in Fond Du Lac, WI. The provider is 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. DR. Philip Douglas Kelley, M.D. NPI is 1033565346. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

134 WESTERN AVE
FOND DU LAC, WI
ZIP 54935-106
Phone: (920) 929-3366
Fax: (920) 929-6818

The enumeration date for this NPI number is 5/5/2016 and was last updated on 5/5/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207ZF0201X	Pathology	Forensic Pathology	39901-20	WISCONSIN	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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