Kelley, Thomas Reynolds

Kelley, Thomas Reynolds is an individual health care provider with primary practice located at 931 N Sr 434 Ste 1275 , Altamonte Springs FL 32714-7057. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Kelley, Thomas Reynolds can be contacted via phone (407) 635-5516.

Contact Information

Primary practice address
931 N Sr 434 Ste 1275 Altamonte Springs FL 32714-7057
Phone: (407) 635-5516
Fax: (407) 636-7876
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X ME91713 Florida

Profile Details

NPI number 1306833082
LBN Legal business name Kelley, Thomas Reynolds
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 29th, 2005
Last updated May 26th, 2020 - about 4 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 1306833082 NPPES
Florida MEDICAID N/A
Florida Other ME91713

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