Kaelin, Lawrence D

Kaelin, Lawrence D is an individual health care provider with primary practice located at 2631 Centennial Blvd Suite 100, Tallahassee FL 32308-0588. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as his primary health care specialty. Kaelin, Lawrence D can be contacted via phone (850) 877-8539.

Contact Information

Primary practice address
2631 Centennial Blvd Suite 100 Tallahassee FL 32308-0588
Phone: (850) 877-8539
Fax: (850) 877-6674
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X ME0049211 Florida

Profile Details

NPI number 1073540282
LBN Legal business name Kaelin, Lawrence D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 26th, 2006
Last updated Mar 31st, 2017 - about 7 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 1073540282 NPPES
Georgia MEDICAID 00517976A
Georgia MEDICAID 370231600

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