Parke, C.W. Kelly
Parke, C.W. Kelly is an individual health care provider with primary practice located at 129 Fleetwood Dr , Easley SC 29640-2019. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Parke, C.W. Kelly can be contacted via phone (864) 855-4255.Contact Information
Primary practice address
129 Fleetwood Dr
Easley SC 29640-2019
Phone: (864) 855-4255
Fax: (864) 855-4439
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 28367 | South Carolina |
Profile Details
| NPI number | 1619958485 |
|---|---|
| LBN Legal business name | Parke, C.W. Kelly |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 9th, 2005 |
| Last updated | Dec 31st, 2007 - about 19 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1619958485 | NPPES |
| South Carolina | MEDICAID | 283678 |
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