Kelley, John

Kelley, John is an individual health care provider with primary practice located at 609 Liberty St , Clay Center KS 67432-1564. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Kelley, John can be contacted via phone (785) 632-2181.

Contact Information

Primary practice address
609 Liberty St Clay Center KS 67432-1564
Phone: (785) 632-2181
Fax: (785) 632-2309
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 27067 Kansas

Profile Details

NPI number 1831192798
LBN Legal business name Kelley, John
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2005
Last updated Sep 1st, 2021 - about 4 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 1831192798 NPPES
Kansas MEDICAID 100298360D

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