Kelley, Ralph Zane
Kelley, Ralph Zane is an individual health care provider with primary practice located at 77 W Forest Ave Ste 206 , Flagstaff AZ 86001-1483. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Kelley, Ralph Zane can be contacted via phone (239) 980-4302.Contact Information
Primary practice address
77 W Forest Ave Ste 206
Flagstaff AZ 86001-1483
Phone: (239) 980-4302
Fax: (928) 773-2598
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | DO1481 | Nevada |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 005754 | Arizona |
Profile Details
| NPI number | 1538369384 |
|---|---|
| LBN Legal business name | Kelley, Ralph Zane |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 20th, 2007 |
| Last updated | Apr 6th, 2020 - about 6 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 | 1538369384 | NPPES |
| Arizona | Other | 1538369384 | UHC |
| Arizona | MEDICAID | 540447 | UHC |
| Arizona | Other | 1538369384 | UHC |
| Arizona | Other | 3218514 | UHC |
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