Kelley, Joseph E

Kelley, Joseph E is an individual health care provider with primary practice located at 979 E 3Rd St Ste 300, Chattanooga TN 37403-2136. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Pediatric Surgery. Allopathic & Osteopathic Physicians / Pediatric Surgery is his primary health care specialty. Kelley, Joseph E can be contacted via phone (423) 267-0466.

Contact Information

Primary practice address
979 E 3Rd St Ste 300 Chattanooga TN 37403-2136
Phone: (423) 267-0466
Fax: (423) 757-0775
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X MD19975 Tennessee
Allopathic & Osteopathic Physicians / Pediatric Surgery 2086S0120X MD19975 Tennessee

Profile Details

NPI number 1831183565
LBN Legal business name Kelley, Joseph E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 8th, 2005
Last updated Feb 18th, 2019 - about 5 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 1831183565 NPPES
Other 183541 BCBS OF TN
MEDICAID 790568Q BCBS OF TN
MEDICAID 009909710 BCBS OF TN
Other 1740072 BCBS OF TN
MEDICAID 00630704A BCBS OF TN
MEDICAID 2535788 BCBS OF TN
MEDICAID 3060412 BCBS OF TN
Other 62165877422 BCBS OF TN
Other 2607892 001 BCBS OF TN
Other 020029189 BCBS OF TN

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