Kelley Mahar MD PC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

4301073735 Issued in MI

Legal business name

KELLEY MAHAR MD PC

Practice address

109 S Front St
Suite 210
Marquette, MI 49855-4645

Phone

(906) 228-9100

Fax

(906) 228-2723

NPI assigned

Aug 11, 2009

Last updated

Oct 5, 2009By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Kelley Anne Mahar, M.D.

Title

Director

Phone

(906) 228-9100

Specialties & licenses 2

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1249948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254700800000",
    "number": "1144452038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 S FRONT ST",
            "address_2": "SUITE 210",
            "city": "MARQUETTE",
            "state": "MI",
            "postal_code": "498554645",
            "telephone_number": "906-228-9100",
            "fax_number": "906-228-2723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 S FRONT ST",
            "address_2": "SUITE 210",
            "city": "MARQUETTE",
            "state": "MI",
            "postal_code": "498554645",
            "telephone_number": "906-228-9100",
            "fax_number": "906-228-2723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KELLEY MAHAR MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-11",
        "last_updated": "2009-10-05",
        "status": "A",
        "authorized_official_last_name": "MAHAR",
        "authorized_official_first_name": "KELLEY",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "906-228-9100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801066478",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MI",
            "license": "4301073735",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela Kates, LMSW
• Thomas Kates, DO
• Katrina Stoner LMSW LLC
• Samantha Marie-Oflynn Kay, RDN
• Linda G Kearney, LMSW
• George Peter Kelly, DDS
• Mary Mae Kelly, L.M.S.W.
• Michele Lee Kelly, CRNA
• Thomas Kelly
• Kendall P. Tabor, D.P.M

• Psychiatry Physician in Marquette, MI
• Providers in Marquette, MI by specialty
• Psychiatry Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.