Graham M Kelly, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

GK008737 Issued in MI

Practice address

3496 E Lake Lansing Rd
Ste. 160
East Lansing, MI 48823-2288

Phone

(517) 371-5515

Fax

(517) 371-5564

NPI assigned

Dec 22, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Bay Point Family Care, PLLC

  • Family Medicine Physician
  • Traverse City, MI
  • NPI 1548257256
  NPD (past)
• Kelly and Garcia PLLC

  • General Practice Physician
  • East Lansing, MI
  • NPI 1760423636
  NPD (past)
• Mesohealth, PC

  • General Practice Physician
  • East Lansing, MI
  • NPI 1407880024
  NPD (past)

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

{
    "created_epoch": "1135209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1477530269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3496 E LAKE LANSING RD",
            "address_2": "STE. 160",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488232288",
            "telephone_number": "517-371-5515",
            "fax_number": "517-371-5564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3496 E LAKE LANSING RD",
            "address_2": "STE. 160",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488232288",
            "telephone_number": "517-371-5515",
            "fax_number": "517-371-5564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLY",
        "first_name": "GRAHAM",
        "middle_name": "M",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "GK008737",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Linda J Keilman, N.P.
• Colleen Gould Keiper, O.D.
• Sharon S Kelley, MD
• Kelly and Garcia PLLC
• Kelly Bensinger LLC
• Laura E Kelly, NP
• Rachel Amber Kelly, ACNPC-AG
• Rudy Kelly
• Brandi Nicole Kennedy, LPC
• Todd Kennedy, PHARM.D

• Family Medicine Physician in East Lansing, MI
• Providers in East Lansing, MI by specialty
• Family Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.