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:
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Health care specialties

SpecialtyCodeLicense #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 4 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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