Kelly, Jacob Patrick

Kelly, Jacob Patrick is an individual health care provider with primary practice located at 3841 Piper St Ste T100 , Anchorage AK 99508-4674. He recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Cardiovascular Disease, Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Advanced Heart Failure and Transplant Cardiology. Allopathic & Osteopathic Physicians / Advanced Heart Failure and Transplant Cardiology is his primary health care specialty. Kelly, Jacob Patrick can be contacted via phone (907) 561-3211.

Contact Information

Primary practice address
3841 Piper St Ste T100 Anchorage AK 99508-4674
Phone: (907) 561-3211
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X N5767 Texas
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 2012-01069 North Carolina
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 119045 Alaska
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X 2012-01069 North Carolina
Allopathic & Osteopathic Physicians / Advanced Heart Failure and Transplant Cardiology 207RA0001X 119045 Alaska

Profile Details

NPI number 1851551949
LBN Legal business name Kelly, Jacob Patrick
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 11th, 2008
Last updated Feb 12th, 2019 - about 7 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 1851551949 NPPES
Alaska MEDICAID 1668479
Alaska MEDICAID 1851551949

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