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
Fax: (928) 773-2598
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
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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