Lucas David Kelley
Technician, Other • Walker, MI
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Lucas Kelley has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Lucas Kelley was a registered Technician, Other practicing in Walker, MI. Throughout an active medical career spanning 8 years, Lucas Kelley provided care at the practice location at 321 MANZANA CT NW APT 3D until profile deactivation on 2024-10-30.
Practice Location & Contact Primary Location
321 Manzana Ct Nw Apt 3d
Walker, MI 495347158
Specialty Benchmarks & Practice Insights
Comparative analytics for Technician, Other in Walker, MI
Practicing in Walker, MI (3821 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 247200000X
A collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed unnecessary by the user.
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on October 30, 2024
Registered at 4829 E BELTLINE AVE NE STE 310, GRAND RAPIDS, MI 495259350 (Tel: 6162796414)
Behavior Technician
NPI status registered as active in NPPES database
Registered at 668 3 MILE AVE NW, SUITE 2, GRAND RAPIDS, MI 49544 (Tel: 8104448317)
Registered at 728 PROSPECT AVE SE, GRAND RAPIDS, MI 495035344 (Tel: 8104448317)
Recorded as LUCAS KELLEY
Technician, Other
NPI status registered as active in NPPES database
Registered at 321 MANZANA CT NW APT 3D, WALKER, MI 495347158 (Tel: 8104448317)
Registered at 321 MANZANA CT NW APT 3D, WALKER, MI 495347158 (Tel: 8104448317)
Recorded as LUCAS KELLEY
Technician, Other
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
321 Manzana Ct Nw Apt 3d
Walker, MI 495347158
Phone: 8104448317
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