Kelley, Kathleen S.

Kelley, Kathleen S. is an sole proprietor health care provider with primary practice located at 498 University Blvd Suite F, Harrisonburg VA 22801. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Kelley, Kathleen S. can be contacted via phone (540) 432-1700.

Contact Information

Primary practice address
498 University Blvd Suite F Harrisonburg VA 22801
Phone: (540) 432-1700
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 0101045174 Virginia

Profile Details

NPI number 1992760797
LBN Legal business name Kelley, Kathleen S.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 18th, 2006
Last updated Sep 16th, 2009 - about 16 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 1992760797 NPPES
Other 3810003016 WV MEDICAID
Other 1000870001 WV MEDICAID
Other 1528917 WV MEDICAID
MEDICAID 010187257 WV MEDICAID
Other 190072 WV MEDICAID
Other 329798 WV MEDICAID
Other 20552 WV MEDICAID

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