Kelley, Benjamin Michael
Kelley, Benjamin Michael is an individual health care provider with primary practice located at 701 Manatee Ave W Ste 202 , Bradenton FL 34205-8624. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Kelley, Benjamin Michael can be contacted via phone (941) 748-2455.Contact Information
Primary practice address
701 Manatee Ave W Ste 202
Bradenton FL 34205-8624
Phone: (941) 748-2455
Fax: (941) 746-4554
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Otolaryngology | 207Y00000X | OS15670 | Florida |
Profile Details
NPI number | 1285059113 |
---|---|
LBN Legal business name | Kelley, Benjamin Michael |
Credentials | Doctor of Osteopathy (DO) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 1st, 2014 |
Last updated | Mar 25th, 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1285059113 | NPPES |
Florida | Other | OS15670 | LICENSE |
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