Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Jeffrey John Kelly, DO

Individual provider Dermatology Physician · NPI 1770565384

Dr. Jeffrey John Kelly, DO is a Dermatology in Traverse City, Michigan. Qualified in 2010, 16 years ago. Practices with Associates in Dermatology of Traverse City PC, a 6-clinician group and accepts Medicare assignment. Licensed in Georgia and Michigan.

Years since qualifying
16
Licensed in
GA, MI
In the registry since
2005
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

3643 W Frnt ST Ste A
Traverse City, MI 49684-7759
Phone: (231) 935-0620
Fax: (231) 935-0626
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence 5101020217 (MI)
Dermatology Physician Taxonomy 207N00000X · Licence 055534 (GA)

Record details

NPI number1770565384
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedNovember 18, 2005
Last updated in NPPESJuly 24, 2013

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDERMATOLOGY
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Associates In Dermatology Of Traverse City Pc — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Traverse City