Kelly, Christopher Patrick

Kelly, Christopher Patrick is an individual health care provider with primary practice located at 202 Larry Joe Harless Dr. , Gilbert WV 25621-1842. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Kelly, Christopher Patrick can be contacted via phone (304) 664-6270.

Contact Information

Primary practice address
202 Larry Joe Harless Dr. Gilbert WV 25621-1842
Phone: (304) 664-6270
Fax: (304) 664-6272
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 2800 West Virginia
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 01578 West Virginia
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 601 West Virginia

Profile Details

NPI number 1407137110
LBN Legal business name Kelly, Christopher Patrick
Credentials PAC
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 8th, 2011
Last updated Apr 3rd, 2017 - about 8 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 1407137110 NPPES
West Virginia MEDICAID 3810025900

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