Kelly, Andrew P

Kelly, Andrew P is an individual health care provider with primary practice located at 555 E Hardy Street Centinela Hospital Medical Center, Inglewood CA 90301. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Kelly, Andrew P can be contacted via phone (310) 673-4660.

Contact Information

Primary practice address
555 E Hardy Street Centinela Hospital Medical Center Inglewood CA 90301
Phone: (310) 673-4660
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X G66498 California

Profile Details

NPI number 1316920895
LBN Legal business name Kelly, Andrew P
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 29th, 2005
Last updated Feb 23rd, 2015 - about 9 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 1316920895 NPPES
Other 00G664980 BLUE SHIELD
MEDICAID 00G664980 BLUE SHIELD
Other 00G664980E02 BLUE SHIELD
Other 050739CF85471 BLUE SHIELD
Other P00225785 BLUE SHIELD

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