Kelley, Ray Don
Kelley, Ray Don is an individual health care provider with primary practice located at 3066 E Meridian Park Loop , Wasilla AK 99654-7299. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Kelley, Ray Don can be contacted via phone (907) 357-9590.Contact Information
Primary practice address
3066 E Meridian Park Loop
Wasilla AK 99654-7299
Phone: (907) 357-9590
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 4001 | Alaska |
Profile Details
| NPI number | 1780654137 |
|---|---|
| LBN Legal business name | Kelley, Ray Don |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 26th, 2006 |
| Last updated | Oct 13th, 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 | 1780654137 | NPPES |
| Alaska | MEDICAID | MD9831 |
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