Kelley, Raymond

Kelley, Raymond is an individual health care provider with primary practice located at 1600 Sw Archer Rd , Gainesville FL 32610-1004. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Kelley, Raymond can be contacted via phone (352) 273-8610.

Contact Information

Primary practice address
1600 Sw Archer Rd Gainesville FL 32610-1004
Phone: (352) 273-8610
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 201702089 North Carolina
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X ME89036 Florida

Profile Details

NPI number 1134102734
LBN Legal business name Kelley, Raymond
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 29th, 2005
Last updated Jun 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1134102734 NPPES
Florida MEDICAID 275245000

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