Kelley, Michael Thomas

Kelley, Michael Thomas is an individual health care provider with primary practice located at 99 Tavern Rd , Martinsburg WV 25401-2890. He recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Administrator, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is his primary health care specialty. Kelley, Michael Thomas can be contacted via phone (304) 263-4999.

Contact Information

Primary practice address
99 Tavern Rd Martinsburg WV 25401-2890
Phone: (304) 263-4999
Fax: (304) 263-0984
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Administrator 163WA2000X 170876 Massachusetts
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 103811 West Virginia

Profile Details

NPI number 1447354147
LBN Legal business name Kelley, Michael Thomas
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 12th, 2006
Last updated Jul 17th, 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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