Cox, Kelly L

Cox, Kelly L is an individual health care provider with primary practice located at 1005 Broadway St , Quincy IL 62301-2834. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medical Services, which is considered as his primary health care specialty. Cox, Kelly L can be contacted via phone (217) 223-8400.

Contact Information

Primary practice address
1005 Broadway St Quincy IL 62301-2834
Fax: (217) 223-9945
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medical Services 207PE0004X 036106270 Illinois

Profile Details

NPI number 1518182906
LBN Legal business name Cox, Kelly L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 13th, 2007
Last updated Jan 14th, 2008 - about 16 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 1518182906 NPPES
Illinois MEDICAID 036106270
Illinois Other 00110123

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