Kelly, George Timothy
Kelly, George Timothy is an individual health care provider with primary practice located at 7200 Cathedral Rock Dr #110, Las Vegas NV 89128-0438. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Kelly, George Timothy can be contacted via phone (702) 341-5444.Contact Information
Primary practice address
7200 Cathedral Rock Dr #110
Las Vegas NV 89128-0438
Phone: (702) 341-5444
Fax: (702) 341-5445
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Other Service Providers / Specialist | 174400000X | MD5260 | Nevada |
Profile Details
NPI number | 1619944113 |
---|---|
LBN Legal business name | Kelly, George Timothy |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 2nd, 2006 |
Last updated | Sep 8th, 2008 - about 17 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 | 1619944113 | NPPES |
Nevada | Other | 88-0388402 | TAX ID # |
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