Kelley, Thomas Michael

Kelley, Thomas Michael is an sole proprietor health care provider with primary practice located at 2817 Reilly St , Fort Bragg NC 28310-7324. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Kelley, Thomas Michael can be contacted via phone (910) 907-7624.

Contact Information

Primary practice address
2817 Reilly St Fort Bragg NC 28310-7324
Phone: (910) 907-7624
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 74379 Georgia
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Surgery 208600000X 267056 North Carolina

Profile Details

NPI number 1154736437
LBN Legal business name Kelley, Thomas Michael
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 25th, 2014
Last updated Nov 4th, 2022 - about 3 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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