Kelly, James A

Kelly, James A is an individual health care provider with primary practice located at 4231 Colonial Ave Suite 1, Roanoke VA 24018-4002. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Kelly, James A can be contacted via phone (540) 774-6000.

Contact Information

Primary practice address
4231 Colonial Ave Suite 1 Roanoke VA 24018-4002
Fax: (540) 774-5276
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 101028920 Virginia

Profile Details

NPI number 1447227988
LBN Legal business name Kelly, James A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 3rd, 2006
Last updated Aug 7th, 2014 - about 10 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 1447227988 NPPES
Virginia MEDICAID 1447227988
Virginia MEDICAID 006208843

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