Kelly, Michael Greg

Kelly, Michael Greg is an individual health care provider with primary practice located at Medical Center Blvd , Winston Salem NC 27157-0001. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Gynecologic Oncology, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology. Allopathic & Osteopathic Physicians / Gynecologic Oncology is his primary health care specialty. Kelly, Michael Greg can be contacted via phone (336) 716-6673.

Contact Information

Primary practice address
Medical Center Blvd Winston Salem NC 27157-0001
Phone: (336) 716-6673
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gynecologic Oncology 207VX0201X 2012-01171 North Carolina
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 2012-01171 North Carolina

Profile Details

NPI number 1477541399
LBN Legal business name Kelly, Michael Greg
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 13th, 2005
Last updated Jun 17th, 2014 - about 12 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1477541399 NPPES
South Carolina MEDICAID Q0117T
South Carolina MEDICAID 3810023441
South Carolina MEDICAID 5921109
South Carolina MEDICAID 1477541399

Popular Providers