Kelley, Norman Ray

Kelley, Norman Ray is an sole proprietor health care provider with primary practice located at 11330 Q St , Omaha NE 68137-3679. He recently has only one registered license in Allopathic & Osteopathic Physicians / Adolescent Medicine, which is considered as his primary health care specialty. Kelley, Norman Ray can be contacted via phone (402) 660-1549.

Contact Information

Primary practice address
11330 Q St Omaha NE 68137-3679
Fax: (402) 504-3496
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adolescent Medicine 2080A0000X 20323 Nebraska

Profile Details

NPI number 1821017625
LBN Legal business name Kelley, Norman Ray
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 19th, 2006
Last updated Mar 7th, 2023 - about last year

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 1821017625 NPPES
Nebraska Other 268399 MR CODE
Nebraska Other 47073897408 MR CODE

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