CHARLES WALTER KELLEY III DPM
NPI 1023010980
Podiatrist - Foot Surgery in Indianapolis, IN

Active since August 11, 2005
3401 E RAYMOND ST, INDIANAPOLIS, IN 46203(317) 788-9769(317) 781-4868 Get Directions Write a Review

NPPES record last updated: May 16, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Charles Walter Kelley Iii Dpm NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHARLES WALTER KELLEY III DPM (NPI 1023010980) is an individual foot surgery provider in Indianapolis, Indiana, licensed in Indiana (070000355) and active in the NPI registry since August 2005.

NPPES Registry Identity

NPI1023010980
Entity TypeIndividualMale
Primary Taxonomy213ES0131X
Provider Legal NameCHARLES WALTER KELLEY IIICredential: DPM
Location Address3401 E RAYMOND STIndianapolis, IN 46203-4744
Mailing Address3401 E Raymond StIndianapolis, IN 46203-4744 · (317) 788-9769 · Fax (317) 781-4868
Fax(317) 781-4868
Sole ProprietorNo
Enumeration DateAugust 11, 2005
Last NPPES UpdateMay 16, 2011
NPI 1023010980 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPodiatrist · Foot SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0131X
License Licensed in IN · 070000355
3401 E RAYMOND ST, Indianapolis, IN 46203

Other Identifiers 4

Medicaid100058130IN
Medicare PIN065860IN
Medicare UPINT34505
Medicare NSC0146750001IN

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
3401 E RAYMOND ST
INDIANAPOLIS, IN 46203
Pediatrics
3401 E RAYMOND ST
INDIANAPOLIS, IN 46203
Nurse Practitioner (Family)
3401 E RAYMOND ST
INDIANAPOLIS, IN 46203
Pediatrics
3401 E RAYMOND ST
INDIANAPOLIS, IN 46203
Pediatrics
3401 E RAYMOND ST
INDIANAPOLIS, IN 46203
Family Medicine
3401 E RAYMOND ST
INDIANAPOLIS, IN 46203
Advanced Practice Midwife
3401 E RAYMOND ST
INDIANAPOLIS, IN 46203
Pharmacist
3401 E RAYMOND ST
INDIANAPOLIS, IN 46203

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Charles Kelley's NPI number?

The NPI number for Charles Kelley is 1023010980. It was assigned to this individual provider in the NPPES registry on August 11, 2005.

Where is Charles Kelley located?

Charles Kelley practices at 3401 E Raymond St, Indianapolis, IN 46203. The listed phone number is (317) 788-9769.

What is Charles Kelley's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot Surgery, with taxonomy code 213ES0131X.

When was this NPI record last updated?

The NPPES record for Charles Kelley was last updated on May 16, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.