Kelley, John Michael

Kelley, John Michael is an individual health care provider with primary practice located at 2211 Genesee St , Utica NY 13501-5930. He recently has only one registered license in Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), which is considered as his primary health care specialty. Kelley, John Michael can be contacted via phone (315) 733-7798.

Contact Information

Primary practice address
2211 Genesee St Utica NY 13501-5930
Phone: (315) 733-7798
Fax: (315) 733-7893
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X 190295-1 New York

Profile Details

NPI number 1750338745
LBN Legal business name Kelley, John Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 27th, 2006
Last updated Apr 2nd, 2013 - about 12 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 1750338745 NPPES
New York MEDICAID 01489990

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