Kelley, John W
Kelley, John W is an individual health care provider with primary practice located at 191 Deep South Farm Rd , Blairsville GA 30512-2220. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Kelley, John W can be contacted via phone (706) 439-6380.Contact Information
Primary practice address
191 Deep South Farm Rd
Blairsville GA 30512-2220
Phone: (706) 439-6380
Fax: (706) 439-6398
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 16253 | Georgia |
Profile Details
| NPI number | 1740229038 |
|---|---|
| LBN Legal business name | Kelley, John W |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 5th, 2006 |
| Last updated | Oct 20th, 2011 - about 15 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1740229038 | NPPES |
| Georgia | MEDICAID | 000187635IJK |
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