Kelly, Michael Anthony

Kelly, Michael Anthony is an individual health care provider with primary practice located at 1710 Harper Rd , Beckley WV 25801-3357. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Kelly, Michael Anthony can be contacted via phone (304) 254-3101.

Contact Information

Primary practice address
1710 Harper Rd Beckley WV 25801-3357
Phone: (304) 254-3101
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 13535 West Virginia

Profile Details

NPI number 1245276955
LBN Legal business name Kelly, Michael Anthony
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 21st, 2006
Last updated Nov 29th, 2007 - about 18 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 1245276955 NPPES
Virginia Other P00397732 RAILROAD MEDICARE
Virginia MEDICAID PENDING RAILROAD MEDICARE
Virginia MEDICAID 0050014000 RAILROAD MEDICARE
Virginia Other 1008977 RAILROAD MEDICARE
Virginia Other P00397732 RAILROAD MEDICARE
Virginia Other 011906S46 RAILROAD MEDICARE
Virginia Other P00287045 RAILROAD MEDICARE

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