Kelly, Alan J

Kelly, Alan J is an individual health care provider with primary practice located at 1215 N Mcdonald Rd Ste 101, Spokane Valley WA 99216-1557. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Kelly, Alan J can be contacted via phone (509) 924-1950.

Contact Information

Primary practice address
1215 N Mcdonald Rd Ste 101 Spokane Valley WA 99216-1557
Phone: (509) 924-1950
Fax: (509) 921-0017
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X BC60304772 Washington

Profile Details

NPI number 1306834833
LBN Legal business name Kelly, Alan J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 10th, 2005
Last updated Mar 2nd, 2017 - about 7 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 1306834833 NPPES
Oregon MEDICAID 151073

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