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
Phone: (205) 838-3435
Fax:
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| 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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