=====================================================
General NPI Number Information
=====================================================
NPI Number | 1598736878
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | CURTIN G KELLEY M.D.
-----------------------------------------------------
Gender | Male
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 01/27/2006
-----------------------------------------------------
Last Update Date | 02/03/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 262 NEIL AVE STE 320
-----------------------------------------------------
City | COLUMBUS
-----------------------------------------------------
State | OH
-----------------------------------------------------
Zip | 43215-7311
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 614-228-4500
-----------------------------------------------------
Fax | 614-221-0138
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 262 NEIL AVE STE 430
-----------------------------------------------------
City | COLUMBUS
-----------------------------------------------------
State | OH
-----------------------------------------------------
Zip | 43215-7312
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 614-221-7464
-----------------------------------------------------
Fax | 614-999-9235
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207W00000X
-----------------------------------------------------
Taxonomy Name | Ophthalmology Physician
-----------------------------------------------------
License Number | L 05806R
-----------------------------------------------------
License Number State | LA
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 207W00000X
-----------------------------------------------------
Taxonomy Name | Ophthalmology Physician
-----------------------------------------------------
License Number | 4301040490
-----------------------------------------------------
License Number State | MI
-----------------------------------------------------
Taxonomy #3
-----------------------------------------------------
Taxonomy Code | 207W00000X
-----------------------------------------------------
Taxonomy Name | Ophthalmology Physician
-----------------------------------------------------
License Number | 35049681
-----------------------------------------------------
License Number State | OH
-----------------------------------------------------