Kelly, Ann J
Kelly, Ann J is an individual health care provider with primary practice located at 319 S Buncombe Rd , Greer SC 29650-1207. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Kelly, Ann J can be contacted via phone (864) 877-3883.Contact Information
Primary practice address
319 S Buncombe Rd
Greer SC 29650-1207
Phone: (864) 877-3883
Fax: (864) 877-7937
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 13547 | South Carolina |
Profile Details
| NPI number | 1902862402 |
|---|---|
| LBN Legal business name | Kelly, Ann J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 24th, 2006 |
| Last updated | Feb 17th, 2012 - about 14 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 | 1902862402 | NPPES |
| South Carolina | Other | 13547 | STATE LICENSE |
| South Carolina | MEDICAID | 135473 | STATE LICENSE |
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