OrganizationActive
Kelly R Whaley
NPI 1609146240 · Primary Podiatric Medicine Podiatrist · Willowick, OH
Provider details
- NPI number
- 1609146240
- Entity type
- Organization
- Primary specialty
- Primary Podiatric Medicine PodiatristPodiatric Medicine & Surgery Service Providers
- Organization subpart
- No
- Authorized official
- Kelly Whaley, Owner(216) 374-5001
- License
- 36003068 (OH)
Specialties & taxonomies
Podiatric Medicine & Surgery Service Providers
Practice location
144 Larimar Dr
Willowick, OH 44095-5212
Phone: (216) 229-0292
Fax: (440) 975-1963
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 182
Wickliffe, OH 44092-0182
Other names (DBA / former)
- Doing business as
- Dr Kelly R Whaley LLC
Registry dates
- Enumerated
- 2012-01-12
- Last updated
- 2025-05-20
- Certified
- 2025-05-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.