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FREDERICK JAY KELLAWAY MD
NPI 1679593982
Radiology - Diagnostic Radiology in Holland, MI

Active since July 20, 2006
602 MICHIGAN AVE, HOLLAND, MI 49423(616) 392-5141 Get Directions Write a Review

NPPES record last updated: July 12, 2007. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Frederick Jay Kellaway Md NPPES

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

FREDERICK JAY KELLAWAY MD (NPI 1679593982) is an individual diagnostic radiology provider in Holland, Michigan, licensed in Michigan (4301071423) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1679593982
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameFREDERICK JAY KELLAWAYCredential: MD
Location Address602 MICHIGAN AVEHolland, MI 49423
Mailing Address3264 N Evergreen Dr Ne, Ste 101Grand Rapids, MI 49525 · (616) 363-7272 · Fax (616) 363-7290
Phone(616) 392-5141
Sole ProprietorNo
Enumeration DateJuly 20, 2006
Last NPPES UpdateJuly 12, 2007
✔ NPI 1679593982 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 · 4301071423
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
602 MICHIGAN AVE, Holland, MI 49423
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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.

SUSAN BUIST LMSW
Social Worker (Clinical)
602 MICHIGAN AVE
HOLLAND, MI 49423
Allegan County (616) 392-5141
DELANIE GRACE VANPELT LMSW
Social Worker (Clinical)
602 MICHIGAN AVE
HOLLAND, MI 49423
Allegan County (616) 494-4217
NICHOLAS RUSSELL
Physical Therapist
602 MICHIGAN AVE
HOLLAND, MI 49423
Allegan County (616) 392-5141
AUSTIN RUND CRNA
Nurse Anesthetist, Certified Registered
602 MICHIGAN AVE
HOLLAND, MI 49423
Allegan County (616) 392-5141
SARA L CHARGO PA
Physician Assistant
602 MICHIGAN AVE
HOLLAND, MI 49423
Allegan County (616) 546-4950
JESSICA WHITE M.D.
Family Medicine
602 MICHIGAN AVE
HOLLAND, MI 49423
Allegan County (616) 546-4950
LING WANG MD
Pediatrics
602 MICHIGAN AVE
HOLLAND, MI 49423
Allegan County (616) 392-5141
WESTERN MICHIGAN PATHOLOGY ASSOCIATES, LLC
Pathology (Anatomic Pathology & Clinical Pathology)
602 MICHIGAN AVE
HOLLAND, MI 49423
Allegan County (616) 392-5141

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 Frederick Kellaway's NPI number?

The NPI number for Frederick Kellaway is 1679593982. It was assigned to this individual provider in the NPPES registry on July 20, 2006.

Where is Frederick Kellaway located?

Frederick Kellaway practices at 602 Michigan Ave, Holland, MI 49423. The listed phone number is (616) 392-5141.

What is Frederick 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 Frederick Kellaway was last updated on July 12, 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.