Kelley, Karl David

Kelley, Karl David is an individual health care provider with primary practice located at 310 N L Rogers Wells Blvd , Glasgow KY 42141-1300. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Kelley, Karl David can be contacted via phone (270) 659-5555.

Contact Information

Primary practice address
310 N L Rogers Wells Blvd Glasgow KY 42141-1300
Phone: (270) 659-5555
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 38748 Tennessee
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 46833 Kentucky

Profile Details

NPI number 1972543064
LBN Legal business name Kelley, Karl David
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 7th, 2006
Last updated Jan 18th, 2024 - about 11 months 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 1972543064 NPPES
Tennessee Other 3897033 BLUE CROSS
Tennessee Other 10021964 BLUE CROSS
Tennessee MEDICAID 3897036 BLUE CROSS
Tennessee Other P00357334 BLUE CROSS
Tennessee Other P00241188 BLUE CROSS
Tennessee MEDICAID 3809694 BLUE CROSS
Tennessee Other 4086997 BLUE CROSS
Tennessee Other 4124223 BLUE CROSS
Tennessee Other 50007338 BLUE CROSS
Tennessee Other 41090 BLUE CROSS
Tennessee Other 4124510 BLUE CROSS
Tennessee MEDICAID 64086663 BLUE CROSS

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