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NPI · 1770565384 · NPPES-sourced

Dr. Jeffrey Kelly D.O.

ActiveDermatology
NPI Number
1770565384
Type 1 · Individual
Taxonomy Code
207N00000X
Contact
(231) 935-0620
License MI · 5101020217
Last Updated
Enumerated
Primary practice addressMI · 49684-7759
3643 W Front St, Suite ATraverse City, MI 49684-7759
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About this NPIWhat this record shows.

NPI 1770565384 is registered to Dr. Jeffrey Kelly D.O., a Dermatology practising at 3643 W Front St, Suite A in Traverse City, Michigan. Dermatology is a medical specialty focused on conditions affecting the skin, hair, and nails, including acne, eczema, psoriasis, skin cancer screenings, and cosmetic procedures. Dr. Jeffrey Kelly D.O. has been enumerated in the National Provider Identifier (NPI) registry since 2005.

Provider type
Individual (Type 1)
Status
Active
Enumerated
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Medicare enrollment

This provider holds a Medicare enrollment on file with the Provider Enrollment, Chain and Ownership System (PECOS). Each enrollment carries a public Medicare Enrollment ID (ENRLMT_ID) used by billers and intermediaries.

Practitioner

Source: CMS PECOS public enrollment file.

Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Dr. Jeffrey Kelly D.O. accepts. To confirm in-network status with your specific health plan, contact Dr. Jeffrey Kelly D.O. directly at (231) 935-0620.

Frequently asked

Yes. NPI 1770565384 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Dermatology is a medical specialty focused on conditions affecting the skin, hair, and nails, including acne, eczema, psoriasis, skin cancer screenings, and cosmetic procedures.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (231) 935-0620.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Dr. Jeffrey Kelly D.O. is a Type-1 individual NPI.

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Quick facts

Provider typeIndividual
Taxonomy207N00000X
Last updated
Enumerated
StatusActive
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1 record · same addressOther providers at this location.

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Same specialtyOther Dermatology providers in Michigan.

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