Kelly, Kevin M

Kelly, Kevin M is an individual health care provider with primary practice located at 310 Greenview Way , Bowling Green KY 42103-8767. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Kelly, Kevin M can be contacted via phone (270) 781-3722.

Contact Information

Primary practice address
310 Greenview Way Bowling Green KY 42103-8767
Phone: (270) 781-3722
Fax: (270) 781-3722
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 37656 Kentucky
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 37656 Kentucky
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 37656 Kentucky

Profile Details

NPI number 1730116625
LBN Legal business name Kelly, Kevin M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 27th, 2006
Last updated Oct 30th, 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 1730116625 NPPES
Kentucky MEDICAID KO78350
Kentucky MEDICAID 65937252

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