Kelly, James Reginald
Kelly, James Reginald is an individual health care provider with primary practice located at Dumc 3022 Wallace Clinic, Durham NC 27710-0001. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Kelly, James Reginald can be contacted via phone (919) 660-6746.Contact Information
Primary practice address
Dumc 3022 Wallace Clinic
Durham NC 27710-0001
Phone: (919) 660-6746
Fax: (919) 681-4849
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 20735 | North Carolina |
Profile Details
| NPI number | 1922004191 |
|---|---|
| LBN Legal business name | Kelly, James Reginald |
| Credentials | MD, MBA |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 22nd, 2005 |
| Last updated | Jun 11th, 2019 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1922004191 | NPPES |
| North Carolina | MEDICAID | 8948207 |
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