Kelly, Todd Lawrence

Kelly, Todd Lawrence is an individual health care provider with primary practice located at 155 Memorial Dr , Pinehurst NC 28374-8710. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Critical Care Medicine. Allopathic & Osteopathic Physicians / Critical Care Medicine is his primary health care specialty. Kelly, Todd Lawrence can be contacted via phone (910) 715-2164.

Contact Information

Primary practice address
155 Memorial Dr Pinehurst NC 28374-8710
Phone: (910) 715-2164
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X K8775 Texas
Allopathic & Osteopathic Physicians / Critical Care Medicine 207LC0200X K8775 Texas
Allopathic & Osteopathic Physicians / Critical Care Medicine 207LC0200X 2019-00087 North Carolina

Profile Details

NPI number 1306927900
LBN Legal business name Kelly, Todd Lawrence
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 18th, 2006
Last updated Jun 14th, 2023 - about 2 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 1306927900 NPPES
Texas MEDICAID 037266604
Texas Other 8AC774
Texas MEDICAID 1888397
Texas MEDICAID 37266601
Texas MEDICAID 037266605
Texas MEDICAID 1306927900
Texas Other P00616427

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