Kelly, Donald Shane

Kelly, Donald Shane is an individual health care provider with primary practice located at 50 Medical Park Dr E , Birmingham AL 35235-3401. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Kelly, Donald Shane can be contacted via phone (205) 838-3435.

Contact Information

Primary practice address
50 Medical Park Dr E Birmingham AL 35235-3401
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 17436 Alabama

Profile Details

NPI number 1417952185
LBN Legal business name Kelly, Donald Shane
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 17th, 2005
Last updated Dec 30th, 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 1417952185 NPPES
Alabama Other 051513028 BLUE CROSS
Alabama MEDICAID 009938634 BLUE CROSS
Alabama Other 051513024 BLUE CROSS
Alabama Other 051513033 BLUE CROSS
Alabama MEDICAID 009938638 BLUE CROSS
Alabama Other 7996461 BLUE CROSS
Alabama MEDICAID 009938636 BLUE CROSS
Alabama MEDICAID 009938641 BLUE CROSS
Alabama Other 051513026 BLUE CROSS
Alabama MEDICAID 009938639 BLUE CROSS
Alabama MEDICAID 009985785 BLUE CROSS
Alabama Other 051513027 BLUE CROSS
Alabama Other 051513030 BLUE CROSS
Alabama Other 051525309 BLUE CROSS
Alabama Other 051539833 BLUE CROSS
Alabama MEDICAID 009938642 BLUE CROSS
Alabama MEDICAID 051513024 BLUE CROSS
Alabama Other 051513031 BLUE CROSS
Alabama MEDICAID 009938633 BLUE CROSS
Alabama MEDICAID 009938637 BLUE CROSS
Alabama Other 051513025 BLUE CROSS

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