Kelly, Gina M
Kelly, Gina M is an sole proprietor health care provider with primary practice located at 3200 Maccorkle Ave Se Fl 4 , Charleston WV 25304-1227. She recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as her primary health care specialty. Kelly, Gina M can be contacted via phone (304) 388-5590.Contact Information
Primary practice address
3200 Maccorkle Ave Se Fl 4
Charleston WV 25304-1227
Phone: (304) 388-5590
Fax: (304) 388-8238
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / General Practice | 208D00000X | 3495 | West Virginia |
Profile Details
NPI number | 1366947715 |
---|---|
LBN Legal business name | Kelly, Gina M |
Credentials | D.O , MS |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Mar 28th, 2018 |
Last updated | Feb 18th, 2020 - about 5 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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