Kelley, Thomas Michael
Kelley, Thomas Michael is an sole proprietor health care provider with primary practice located at 2817 Reilly St , Fort Bragg NC 28310-7324. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Kelley, Thomas Michael can be contacted via phone (910) 907-7624.Contact Information
Primary practice address
2817 Reilly St
Fort Bragg NC 28310-7324
Phone: (910) 907-7624
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 74379 | Georgia |
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 267056 | North Carolina |
Profile Details
| NPI number | 1154736437 |
|---|---|
| LBN Legal business name | Kelley, Thomas Michael |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 25th, 2014 |
| Last updated | Nov 4th, 2022 - about 4 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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