Kelley, Marshall
Kelley, Marshall is an individual health care provider with primary practice located at 346 Maine St , Lawrence KS 66044-1359. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Kelley, Marshall can be contacted via phone (785) 842-4477.Contact Information
Primary practice address
346 Maine St
Lawrence KS 66044-1359
Phone: (785) 842-4477
Fax: (785) 842-7433
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 0422669 | Kansas |
Profile Details
| NPI number | 1164429114 |
|---|---|
| LBN Legal business name | Kelley, Marshall |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 6th, 2005 |
| Last updated | Sep 1st, 2011 - about 14 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1164429114 | NPPES |
| Kansas | MEDICAID | 100149670A |
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