Kelley, Patrick Mark
Kelley, Patrick Mark is an sole proprietor health care provider with primary practice located at 15 Doctors Dr , Panama City FL 32405-4520. He recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic Surgery, which is considered as his primary health care specialty. Kelley, Patrick Mark can be contacted via phone (850) 769-8991.Contact Information
Primary practice address
15 Doctors Dr
Panama City FL 32405-4520
Phone: (850) 769-8991
Fax: (850) 769-3708
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Plastic Surgery | 208200000X | ME32802 | Florida |
Profile Details
| NPI number | 1861593949 |
|---|---|
| LBN Legal business name | Kelley, Patrick Mark |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 25th, 2006 |
| Last updated | May 26th, 2015 - about 11 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 | 1861593949 | NPPES |
| Florida | MEDICAID | 031772-00 |
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