Bobo, Phillip Kelley

Bobo, Phillip Kelley is an individual health care provider with primary practice located at 32 15Th St , Tuscaloosa AL 35401-3661. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Bobo, Phillip Kelley can be contacted via phone (205) 345-2326.

Contact Information

Primary practice address
32 15Th St Tuscaloosa AL 35401-3661
Fax: (205) 345-0708
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 00006261 Alabama
Allopathic & Osteopathic Physicians / General Practice 208D00000X 00006261 Alabama

Profile Details

NPI number 1184652596
LBN Legal business name Bobo, Phillip Kelley
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 28th, 2006
Last updated Jul 8th, 2007 - about 17 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 1184652596 NPPES
Other 0133467 NATIONAL COUNCIL FOR PRES

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