Kelley, Peter

Kelley, Peter is an individual health care provider with primary practice located at 1199 Prince Ave , Athens GA 30606-2797. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Kelley, Peter can be contacted via phone (706) 543-3449.

Contact Information

Primary practice address
1199 Prince Ave Athens GA 30606-2797
Fax: (706) 543-5744
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 037847 Georgia

Profile Details

NPI number 1144276007
LBN Legal business name Kelley, Peter
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 25th, 2006
Last updated May 7th, 2010 - about 16 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 1144276007 NPPES
Georgia MEDICAID 000719606B

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