Kelly, Daniel Joseph

Kelly, Daniel Joseph is an sole proprietor health care provider with primary practice located at 405 E 7Th St , The Dalles OR 97058-2607. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Kelly, Daniel Joseph can be contacted via phone (541) 298-5144.

Contact Information

Primary practice address
405 E 7Th St The Dalles OR 97058-2607
Phone: (541) 298-5144
Fax: (541) 298-5224
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X MD12291 Oregon
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X MD00022665 Washington

Profile Details

NPI number 1770548265
LBN Legal business name Kelly, Daniel Joseph
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 19th, 2006
Last updated Mar 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 1770548265 NPPES
Oregon MEDICAID 267104
Oregon Other 1257104

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