Kelly, Michael W.

Kelly, Michael W. is an individual health care provider with primary practice located at 200 Patewood Dr Suite B200, Greenville SC 29615-3593. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Kelly, Michael W. can be contacted via phone (864) 232-7338.

Contact Information

Primary practice address
200 Patewood Dr Suite B200 Greenville SC 29615-3593
Phone: (864) 232-7338
Fax: (864) 239-6645
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 7061 South Carolina

Profile Details

NPI number 1720171309
LBN Legal business name Kelly, Michael W.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 2nd, 2006
Last updated May 23rd, 2011 - about 14 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 1720171309 NPPES
South Carolina MEDICAID 070611

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