Kelly, Gregory Dennis

Kelly, Gregory Dennis is an sole proprietor health care provider with primary practice located at 1400 Hospital Dr Emergency Department, Hurricane WV 25526-9202. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Kelly, Gregory Dennis can be contacted via phone (304) 757-1767.

Contact Information

Primary practice address
1400 Hospital Dr Emergency Department Hurricane WV 25526-9202
Phone: (304) 757-1767
Fax: (304) 757-1716
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 744 West Virginia

Profile Details

NPI number 1609945443
LBN Legal business name Kelly, Gregory Dennis
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 7th, 2006
Last updated Jan 10th, 2017 - 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 1609945443 NPPES
West Virginia Other 000681385 BLUE CROSS BLUE SHIELD
West Virginia Other 1052927 BLUE CROSS BLUE SHIELD
West Virginia Other 0050063000 BLUE CROSS BLUE SHIELD

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