Kelen, George John
Kelen, George John is an individual health care provider with primary practice located at 102 E Ludington Ave , Ludington MI 49431-2191. He recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Specialist/Technologist Cardiovascular, which is considered as his primary health care specialty. Kelen, George John can be contacted via phone (231) 425-4590.Contact Information
Primary practice address
102 E Ludington Ave
Ludington MI 49431-2191
Phone: (231) 425-4590
Fax: (231) 425-4588
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Technologists, Technicians & Other Technical Service Providers / Specialist/Technologist Cardiovascular | 246X00000X | 4301079843 | Michigan |
Profile Details
NPI number | 1548255128 |
---|---|
LBN Legal business name | Kelen, George John |
Credentials | M.D., F.A.C.C. |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Sep 20th, 2005 |
Last updated | Jun 9th, 2014 - about 11 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1548255128 | NPPES |
Michigan | MEDICAID | 4579580 | |
Michigan | Other | DA9989 |
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