Bewsey, Kelly E

Bewsey, Kelly E is an individual health care provider with primary practice located at 701 Mcfarland St , Morristown TN 37814-3977. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Bewsey, Kelly E can be contacted via phone (423) 581-6084.

Contact Information

Primary practice address
701 Mcfarland St Morristown TN 37814-3977
Phone: (423) 581-6084
Fax: (865) 374-2140
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X MD424055 Pennsylvania
Allopathic & Osteopathic Physicians / Urology 208800000X 036116610 Illinois
Allopathic & Osteopathic Physicians / Urology 208800000X 58220 Tennessee

Profile Details

NPI number 1831198118
LBN Legal business name Bewsey, Kelly E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 19th, 2005
Last updated Jun 14th, 2021 - about 4 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 1831198118 NPPES
Illinois MEDICAID 036116610
Illinois MEDICAID 100944016001
Illinois MEDICAID Q045916

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