Kelly, David Lee
Kelly, David Lee is an individual health care provider with primary practice located at Medical Center Blvd , Winston Salem NC 27157-0001. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurological Surgery, which is considered as his primary health care specialty. Kelly, David Lee can be contacted via phone (336) 716-2255.Contact Information
Primary practice address
Medical Center Blvd
Winston Salem NC 27157-0001
Phone: (336) 716-2255
Fax: (336) 716-2907
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurological Surgery | 207T00000X | 11526 | North Carolina |
Profile Details
| NPI number | 1255310587 |
|---|---|
| LBN Legal business name | Kelly, David Lee |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 13th, 2006 |
| Last updated | Aug 20th, 2010 - about 15 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1255310587 | NPPES |
| North Carolina | Other | 48205 | BCBS |
| North Carolina | MEDICAID | Q11526 | BCBS |
| North Carolina | MEDICAID | 8948205 | BCBS |
| North Carolina | Other | 26310 | BCBS |
| North Carolina | Other | 2875 | BCBS |
| North Carolina | Other | 4382149 | BCBS |
| North Carolina | MEDICAID | 6133801 | BCBS |
| North Carolina | MEDICAID | 204068000 | BCBS |
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