Hartel, Kelly L

Hartel, Kelly L is an individual health care provider with primary practice located at 1101 W. Liberty Parkland Health Center, Farmington MO 63640. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is her primary health care specialty. Hartel, Kelly L can be contacted via phone (573) 760-8475.

Contact Information

Primary practice address
1101 W. Liberty Parkland Health Center Farmington MO 63640
Fax: (573) 760-8484
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 111596 Missouri
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 111596 Missouri

Profile Details

NPI number 1588636823
LBN Legal business name Hartel, Kelly L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 2nd, 2006
Last updated Apr 12th, 2017 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1588636823 NPPES
Missouri MEDICAID 208854604

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