Kelly, Robert E.

Kelly, Robert E. is an individual health care provider with primary practice located at 601 Childrens Ln , Norfolk VA 23507-1910. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Surgery, which is considered as his primary health care specialty. Kelly, Robert E. can be contacted via phone (757) 668-7703.

Contact Information

Primary practice address
601 Childrens Ln Norfolk VA 23507-1910
Phone: (757) 668-7703
Fax: (757) 668-8860
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Surgery 2086S0120X 0101050898 Virginia

Profile Details

NPI number 1396752838
LBN Legal business name Kelly, Robert E.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 1st, 2006
Last updated Dec 26th, 2012 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1396752838 NPPES
North Carolina MEDICAID 8906998
North Carolina Other 4480859
North Carolina Other 15404
North Carolina Other 3116108340002E
North Carolina Other 321883
North Carolina MEDICAID 006732861
North Carolina Other 321883
North Carolina Other 265055
North Carolina Other 311610834
North Carolina Other 8906998

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