Kelen, George John

Kelen, George John is an individual health care provider with primary practice located at 102 E Ludington Ave , Ludington MI 49431-2191. He recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Specialist/Technologist Cardiovascular, which is considered as his primary health care specialty. Kelen, George John can be contacted via phone (231) 425-4590.

Contact Information

Primary practice address
102 E Ludington Ave Ludington MI 49431-2191
Phone: (231) 425-4590
Fax: (231) 425-4588
Website:
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Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Specialist/Technologist Cardiovascular 246X00000X 4301079843 Michigan

Profile Details

NPI number 1548255128
LBN Legal business name Kelen, George John
Credentials M.D., F.A.C.C.
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2005
Last updated Jun 9th, 2014 - about 12 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 1548255128 NPPES
Michigan MEDICAID 4579580
Michigan Other DA9989

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