Kelly, Ernest

Kelly, Ernest is an individual health care provider with primary practice located at 2495 Shreveport Hwy , Pineville LA 71360-4044. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Kelly, Ernest can be contacted via phone (318) 473-0010.

Contact Information

Primary practice address
2495 Shreveport Hwy Pineville LA 71360-4044
Phone: (318) 473-0010
Fax: (318) 473-1435
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 016942 Louisiana
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 016942 Louisiana

Profile Details

NPI number 1740381953
LBN Legal business name Kelly, Ernest
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 26th, 2006
Last updated Apr 26th, 2016 - about 8 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 1740381953 NPPES
Louisiana MEDICAID 1340146

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