Kelley, Norman Ray
Kelley, Norman Ray is an sole proprietor health care provider with primary practice located at 11330 Q St , Omaha NE 68137-3679. He recently has only one registered license in Allopathic & Osteopathic Physicians / Adolescent Medicine, which is considered as his primary health care specialty. Kelley, Norman Ray can be contacted via phone (402) 660-1549.Contact Information
Primary practice address
11330 Q St
Omaha NE 68137-3679
Phone: (402) 660-1549
Fax: (402) 504-3496
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Adolescent Medicine | 2080A0000X | 20323 | Nebraska |
Profile Details
| NPI number | 1821017625 |
|---|---|
| LBN Legal business name | Kelley, Norman Ray |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 19th, 2006 |
| Last updated | Mar 7th, 2023 - about 3 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 | 1821017625 | NPPES |
| Nebraska | Other | 268399 | MR CODE |
| Nebraska | Other | 47073897408 | MR CODE |
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