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
Mailing address3643 W Front St, Suite A, Traverse City, MI 49684-7759

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