MEDICARE: DR. CURTIN G KELLEY M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207W00000X	Ophthalmology Physician	L 05806R	LA
2	207W00000X	Ophthalmology Physician	4301040490	MI
3	207W00000X	Ophthalmology Physician	35049681	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1598736878
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CURTIN G KELLEY M.D.

Provider Business Mailing Address
First Line	:	262 NEIL AVE STE 320
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43215-7311
Country	:	US
Telephone Number	:	614-221-7464
Fax Number	:	614-999-9235

Provider Business Practice Location Address
First Line	:	262 NEIL AVE STE 320
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43215-7311
Country	:	US
Telephone Number	:	614-228-4500
Fax Number	:	614-221-0138

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/27/2006
Last Update Date	:	02/25/2026

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