Kelley, Michael Bryant

Kelley, Michael Bryant is an individual health care provider with primary practice located at 1301 Pleasant Valley Rd Ste 202 , Owensboro KY 42303. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Kelley, Michael Bryant can be contacted via phone (270) 417-7500.

Contact Information

Primary practice address
1301 Pleasant Valley Rd Ste 202 Owensboro KY 42303
Phone: (270) 417-7500
Fax: (270) 417-7509
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 60212959 Washington
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X MD43981 Tennessee
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 52292 Kentucky

Profile Details

NPI number 1376606830
LBN Legal business name Kelley, Michael Bryant
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 18th, 2006
Last updated May 30th, 2019 - about 6 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 1376606830 NPPES
Kentucky MEDICAID PENDING

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