Kelley, Glenn Patrick
Kelley, Glenn Patrick is an individual health care provider with primary practice located at 4200 Houma Blvd Fl 2 , Metairie LA 70006-2970. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Kelley, Glenn Patrick can be contacted via phone (504) 454-4102.Contact Information
Primary practice address
4200 Houma Blvd Fl 2
Metairie LA 70006-2970
Phone: (504) 454-4102
Fax: (504) 454-4192
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | MD.025489 | Louisiana |
Profile Details
| NPI number | 1417985813 |
|---|---|
| LBN Legal business name | Kelley, Glenn Patrick |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 28th, 2006 |
| Last updated | Dec 22nd, 2016 - about 8 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 | 1417985813 | NPPES |
| Louisiana | MEDICAID | 1575755 |
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