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
Fax: (941) 746-4554
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1285059113 NPPES
Florida Other OS15670 LICENSE

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