Kelly, James Thomas

Kelly, James Thomas is an individual health care provider with primary practice located at 26908 Cook Rd , Olmsted Falls OH 44138-3548. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Kelly, James Thomas can be contacted via phone (440) 414-9700.

Contact Information

Primary practice address
26908 Cook Rd Olmsted Falls OH 44138-3548
Phone: (440) 414-9700
Fax: (216) 201-5584
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 35057401 Ohio

Profile Details

NPI number 1427029545
LBN Legal business name Kelly, James Thomas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 27th, 2006
Last updated Jan 7th, 2021 - about 3 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 1427029545 NPPES
Other 080144355 RAIL ROAD MEDICARE
Other F57401 RAIL ROAD MEDICARE
MEDICAID 0885190 RAIL ROAD MEDICARE
Other 000000128714 RAIL ROAD MEDICARE

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