Kelly, Kevin M

Kelly, Kevin M is an individual health care provider with primary practice located at 420 E North Ave Ste 206 , Pittsburgh PA 15212-4746. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Kelly, Kevin M can be contacted via phone (412) 359-8850.

Contact Information

Primary practice address
420 E North Ave Ste 206 Pittsburgh PA 15212-4746
Phone: (412) 359-8850
Fax: (412) 359-8878
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X MD057072L Pennsylvania

Profile Details

NPI number 1356342109
LBN Legal business name Kelly, Kevin M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 2nd, 2005
Last updated Sep 30th, 2020 - about 6 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 1356342109 NPPES
West Virginia MEDICAID 0216325000
West Virginia MEDICAID 2241256
West Virginia MEDICAID 001549291

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