Raymond J Kelly, M.D. Inc

LBN: Raymond J Kelly, M.D. Inc
Raymond J Kelly, M.D. Inc is an health care organization with primary practice located at 100 S Ellsworth Ave Suite 301, San Mateo CA 94401-3939. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as the primary health care specialty. Raymond J Kelly, M.D. Inc can be contacted via phone (650) 344-2561, or through Kelly, Raymond J via phone (650) 344-2561.

Contact Information

Primary practice address
100 S Ellsworth Ave Suite 301 San Mateo CA 94401-3939
Phone: (650) 344-2561
Fax: (650) 344-2563
Website:
Map and Directions
Authorized official contact:
Name: Kelly, Raymond J
Phone: (650) 344-2561

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X G 023921 California

Profile Details

NPI number 1598953739
LBN Legal business name Raymond J Kelly, M.D. Inc
DBA Doing business as
Authorized official Kelly, Raymond J
Entity Organization
Organization subpart 1 No
Enumeration date Oct 12th, 2007
Last updated Oct 23rd, 2007 - about 19 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1598953739 NPPES
California Other 1356409239 TYPE 1 NPI
California Other G 023921 TYPE 1 NPI

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