Kelley, John T
Kelley, John T is an individual health care provider with primary practice located at 269 N 1St Ave , Iowa City IA 52245-3645. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Kelley, John T can be contacted via phone (319) 351-6852.Contact Information
Primary practice address
269 N 1St Ave
Iowa City IA 52245-3645
Phone: (319) 351-6852
Fax: (319) 351-2025
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | MD-18671 | Iowa |
Profile Details
| NPI number | 1871567131 |
|---|---|
| LBN Legal business name | Kelley, John T |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 14th, 2006 |
| Last updated | Apr 17th, 2024 - about last year |
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 | 1871567131 | NPPES |
| Iowa | MEDICAID | 0159277 | |
| Iowa | Other | 03090 |
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