Kelly, Adam G

Kelly, Adam G is an individual health care provider with primary practice located at 1600 Sw Archer Rd , Gainesville FL 32610-0236. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neurology, Allopathic & Osteopathic Physicians / Vascular Neurology. Allopathic & Osteopathic Physicians / Neurology is his primary health care specialty. Kelly, Adam G can be contacted via phone (352) 273-5550.

Contact Information

Primary practice address
1600 Sw Archer Rd Gainesville FL 32610-0236
Phone: (352) 273-5550
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 237964 New York
Allopathic & Osteopathic Physicians / Vascular Neurology 2084V0102X 237964 New York
Allopathic & Osteopathic Physicians / Neurology 2084N0400X ME135304 Florida

Profile Details

NPI number 1104839190
LBN Legal business name Kelly, Adam G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 14th, 2006
Last updated Jul 5th, 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 1104839190 NPPES
Florida MEDICAID 024217500
Florida Other 2084N0400X
Florida Other RB4835

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