Dr BRENT L KELLEY is a male medical professional, specializing in Family Medicine. He graduated in 1995 from Chicago College Of Osteopathic Medicine.
THE LAKES COMMUNITY HEALTH CENTER, INC
7665 US HWY 2
IRON RIVER
WI
548474690
Tel: 7153725001
| Npi | 1750306288 |
| Pac Id | 3870788730 |
| Professional Enrollment Id | I20101117000896 |
| Last Name | KELLEY |
| First Name | BRENT |
| Middle Name | L |
| Suffix | |
| Gender | M |
| Credential | |
| Medical School Name | CHICAGO COLLEGE OF OSTEOPATHIC MEDICINE |
| Graduation Year | 1995 |
| Primary Specialty | FAMILY MEDICINE |
| Secondary Specialty 1 | |
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| Organization Legal Name | THE LAKES COMMUNITY HEALTH CENTER, INC |
| Group Practice Pac Id | 0840366654 |
| Number Of Group Practice Members | 24 |
| Line 1 Street Address | 7665 US HWY 2 |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | IRON RIVER |
| State | WI |
| Zip Code | 548474690 |
| Phone Number | 7153725001 |
| Hospital Affiliation Ccn 1 | 521336 |
| Hospital Affiliation Lbn 1 | HAYWARD AREA MEMORIAL HOSPITAL |
| Hospital Affiliation Ccn 2 | |
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| Professional Accepts Medicare Assignment | Y |
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