Kelley, Patrick Mark

Kelley, Patrick Mark is an sole proprietor health care provider with primary practice located at 15 Doctors Dr , Panama City FL 32405-4520. He recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic Surgery, which is considered as his primary health care specialty. Kelley, Patrick Mark can be contacted via phone (850) 769-8991.

Contact Information

Primary practice address
15 Doctors Dr Panama City FL 32405-4520
Phone: (850) 769-8991
Fax: (850) 769-3708
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X ME32802 Florida

Profile Details

NPI number 1861593949
LBN Legal business name Kelley, Patrick Mark
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 25th, 2006
Last updated May 26th, 2015 - about 10 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 1861593949 NPPES
Florida MEDICAID 031772-00

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