Kelly, Michael James

Kelly, Michael James is an individual health care provider with primary practice located at 300 W Hospital Rd Eisenhower Army Medical Center, Fort Gordon GA 30905-5741. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Kelly, Michael James can be contacted via phone (504) 319-6598.

Contact Information

Primary practice address
300 W Hospital Rd Eisenhower Army Medical Center Fort Gordon GA 30905-5741
Phone: (504) 319-6598
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 63909 Georgia
Allopathic & Osteopathic Physicians / General Practice 208D00000X 35228 South Carolina

Profile Details

NPI number 1801044714
LBN Legal business name Kelly, Michael James
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 4th, 2008
Last updated Aug 29th, 2013 - about 13 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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