Kelly, John William

Kelly, John William is an individual health care provider with primary practice located at 890 W Faris Rd Ste 520, Greenville SC 29605-4253. He recently has only one registered license in Allopathic & Osteopathic Physicians / Infectious Disease, which is considered as his primary health care specialty. Kelly, John William can be contacted via phone (864) 455-9033.

Contact Information

Primary practice address
890 W Faris Rd Ste 520 Greenville SC 29605-4253
Phone: (864) 455-9033
Fax: (864) 455-6559
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X 17203 South Carolina

Profile Details

NPI number 1457305211
LBN Legal business name Kelly, John William
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 19th, 2006
Last updated Jul 21st, 2016 - about 10 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 1457305211 NPPES
South Carolina MEDICAID 172039
South Carolina Other 110247976

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