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JOHN KELLY, MD, PLLC
NPI 1265623748
Family Medicine in Tecumseh, MI

Active since August 08, 2007
115 S EVANS ST, TECUMSEH, MI 49286(517) 423-9300(517) 423-9400 Get Directions Write a Review

NPPES record last updated: October 23, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About John Kelly, Md, Pllc NPPES

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

JOHN KELLY, MD, PLLC (NPI 1265623748) is a healthcare organization registered as a family medicine in Tecumseh, Michigan and active in the NPI registry since August 2007. The organization lists John J. Kelly, Physician, as its authorized official.

NPPES Registry Identity

NPI1265623748
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameJOHN KELLY, MD, PLLC
Location Address115 S EVANS STTecumseh, MI 49286-1949
Mailing Address115 S Evans StTecumseh, MI 49286-1949 · (517) 423-9300 · Fax (517) 423-9400
Phone(517) 423-9300
Fax(517) 423-9400
Organization SubpartNo
Authorized OfficialJohn J. KellyPhysician · (517) 423-9300
Enumeration DateAugust 8, 2007
Last NPPES UpdateOctober 23, 2014
✔ NPI 1265623748 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in MI · JK057968
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
115 S EVANS ST, Tecumseh, MI 49286
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Other Identifiers 3

Medicare UPINF87859MI
Medicaid4970844MI
Medicare PIN0P48280MI

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

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

DR. JOHN JOSEPH KELLY M.D.
Family Medicine
115 S EVANS ST
TECUMSEH, MI 49286
Lenawee County (517) 423-9300
CHARLOTTE CHRISTINA ROZICH LMT, NCTMB
Massage Therapist
115 S EVANS ST
TECUMSEH, MI 49286
Lenawee County (517) 442-0108

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 John Kelly, MD, PLLC's NPI number?

The NPI number for John Kelly, MD, PLLC is 1265623748. It was assigned to this organization in the NPPES registry on August 8, 2007.

Where is John Kelly, MD, PLLC located?

John Kelly, MD, PLLC is located at 115 S Evans St, Tecumseh, MI 49286. The listed phone number is (517) 423-9300.

What is John Kelly, MD, PLLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for John Kelly, MD, PLLC was last updated on October 23, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.