Kelley, Harley
Kelley, Harley is an sole proprietor health care provider with primary practice located at 557 W Washington St. , Burns OR 97720-1441. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Kelley, Harley can be contacted via phone (541) 573-7281.Contact Information
Primary practice address
557 W Washington St.
Burns OR 97720-1441
Phone: (541) 573-7281
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | MD06122 | Oregon |
Profile Details
| NPI number | 1558587675 |
|---|---|
| LBN Legal business name | Kelley, Harley |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 17th, 2007 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1558587675 | NPPES |
| Oregon | MEDICAID | 101345 |
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