FREDERICK J. KELLAWAY MD – NPI #1679593982
Radiology

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

FREDERICK KELLAWAY is a radiologist located in HOLLAND, MI. NPPES has assigned the NPI number 1679593982 to FREDERICK KELLAWAY on July 20, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 2085R0202X from the Health Care Provider Taxonomy code set, which is classified as Radiology, specializing in Diagnostic Radiology

The NPI profile was previously updated about 19 years ago on Jul 12, 2007. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for FREDERICK KELLAWAY below.

NPI Profile for
FREDERICK J. KELLAWAY

NPI Number
1679593982
Enumeration Date

(about 20 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
FREDERICK J. KELLAWAY
Credentials
MD
Primary location
602 MICHIGAN AVE
HOLLAND, MI 49423
Phone: (616) 392-5141 Fax:
Mailing address
3264 N EVERGREEN DR NE
STE 101
GRAND RAPIDS, MI 49525
Phone: (616) 363-7272 Fax: (616) 363-7290
Sole Proprietor
No
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2085R0202X
- Radiology / Diagnostic Radiology (Primary)
MI 4301071423

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.