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NPI Code Detail

MEDICARE: CLIFFORD M KERLEY MD

MEDICARE:   CLIFFORD M KERLEY  MD
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
12085R0202XDiagnostic Radiology Physician14746GA

Other Identifiers

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

General Provider Information

NPI Number : 1265406011
Entity Type Code : Individual
Provider Name (Legal Business Name) : CLIFFORD M KERLEY MD
Provider Business Mailing Address
First Line : PO BOX 1316
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46206-1316
Country : US
Telephone Number : 877-440-0479
Fax Number :
Provider Business Practice Location Address
First Line : 2701 N DECATUR RD
Second Line :
City : DECATUR
State : GA
Zip : 30033-5918
Country : US
Telephone Number : 404-564-5400
Fax Number : 404-564-5403
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/16/2006
Last Update Date : 02/15/2026

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Directions to “ CLIFFORD M KERLEY MD” Practice Location

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