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DR. JAY EMERSON KELLAWAY M.D.
NPI 1629129200
Radiology - Diagnostic Radiology in West Olive, MI

Active since January 12, 2007
10229 LAKESHORE DR, WEST OLIVE, MI 49460(616) 842-6757(616) 842-7256 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Jay Emerson Kellaway M.d. NPPES

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

DR. JAY EMERSON KELLAWAY M.D. (NPI 1629129200) is an individual diagnostic radiology provider in West Olive, Michigan, licensed in Michigan (1686290) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1629129200
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameDR. JAY EMERSON KELLAWAYCredential: M.D.
Location Address10229 LAKESHORE DRWest Olive, MI 49460-9554
Mailing Address10229 Lakeshore DrWest Olive, MI 49460-9554 · (616) 842-6757 · Fax (616) 842-7256
Phone(616) 842-6757
Fax(616) 842-7256
Sole ProprietorYes
Enumeration DateJanuary 12, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1629129200 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License✔ Licensed in MI · 1686290
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
10229 LAKESHORE DR, West Olive, MI 49460
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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 Jay Kellaway's NPI number?

The NPI number for Jay Kellaway is 1629129200. It was assigned to this individual provider in the NPPES registry on January 12, 2007.

Where is Jay Kellaway located?

Jay Kellaway practices at 10229 Lakeshore Dr, West Olive, MI 49460. The listed phone number is (616) 842-6757.

What is Jay Kellaway's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

When was this NPI record last updated?

The NPPES record for Jay Kellaway was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.