Kelly, Robert A.

Kelly, Robert A. is an individual health care provider with primary practice located at 270 Chastain Rd Nw , Kennesaw GA 30144-3012. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Kelly, Robert A. can be contacted via phone (770) 421-8005.

Contact Information

Primary practice address
270 Chastain Rd Nw Kennesaw GA 30144-3012
Phone: (770) 421-8005
Fax: (770) 424-5662
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 034872 Georgia

Profile Details

NPI number 1609863976
LBN Legal business name Kelly, Robert A.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 3rd, 2005
Last updated Sep 12th, 2016 - about 9 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 1609863976 NPPES
Georgia MEDICAID 000516447N
Georgia MEDICAID 000516447O
Georgia MEDICAID 000516447M
Georgia MEDICAID 000516447B

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