MEDICARE: DR. CHARLES E KELLY D.O.

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	207RG0100X	Gastroenterology Physician	CK006922	MI

General Provider Information

NPI Number	:	1881698629
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CHARLES E KELLY D.O.

Provider Business Mailing Address
First Line	:	820 BYRON RD
Second Line	:	STE 200
City	:	HOWELL
State	:	MI
Zip	:	48843-1024
Country	:	US
Telephone Number	:	517-548-1246
Fax Number	:	517-548-9164

Provider Business Practice Location Address
First Line	:	820 BYRON RD
Second Line	:	STE 200
City	:	HOWELL
State	:	MI
Zip	:	48843-1024
Country	:	US
Telephone Number	:	517-548-1246
Fax Number	:	517-548-9164

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

Provider Enumeration Date	:	06/09/2005
Last Update Date	:	07/08/2007

Similar Medicare Providers

1730183575 — DR. WILLIAM A BUSH D.O.
Practice Location Address:

820 BYRON RD , STE 200
HOWELL, MI
48843-1024

Practice Phone: 517-548-1246
Practice Fax: 517-548-9164

1578567327 — DR. GERALD R DRESLINSKI M.D.
Practice Location Address:

820 BYRON RD , STE 200
HOWELL, MI
48843-1024

Practice Phone: 517-548-1246
Practice Fax: 517-548-9164

1477557056 — DR. JOSEPH J SKANDALARIS D.O.
Practice Location Address:

820 BYRON RD , STE 200
HOWELL, MI
48843-1024

Practice Phone: 517-548-1246
Practice Fax: 517-548-9164

1154969517 — PHARMACARE DRUGS 3 INC
Practice Location Address:

3439 E GRAND RIVER AVE
HOWELL, MI
48843-8552

Practice Phone: 313-485-1411
Practice Fax: 734-879-0995

1972507739 — ELAINE M RAWSKY GNP
Practice Location Address:

3399 E GRAND RIVER AVE , STE 204
HOWELL, MI
48843-7555

Practice Phone: 517-540-0709
Practice Fax: 517-540-1775

1932105525 — ADVANCED MEDICAL SOLUTIONS INC
Practice Location Address:

106 W GRAND RIVER AVE
HOWELL, MI
48843

Practice Phone: 517-548-1443
Practice Fax: 517-548-1588

Directions to “ DR. CHARLES E KELLY D.O.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.