Kelley, John
Kelley, John is an individual health care provider with primary practice located at 609 Liberty St , Clay Center KS 67432-1564. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Kelley, John can be contacted via phone (785) 632-2181.Contact Information
Primary practice address
609 Liberty St
Clay Center KS 67432-1564
Phone: (785) 632-2181
Fax: (785) 632-2309
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 27067 | Kansas |
Profile Details
| NPI number | 1831192798 |
|---|---|
| LBN Legal business name | Kelley, John |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 24th, 2005 |
| Last updated | Sep 1st, 2021 - about 3 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 | 1831192798 | NPPES |
| Kansas | MEDICAID | 100298360D |
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