Kelly, John

Kelly, John is an individual health care provider with primary practice located at 700 Childrens Dr Department Of Pediatric Cardiology, Columbus OH 43205-2664. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Cardiology. Allopathic & Osteopathic Physicians / Pediatric Cardiology is his primary health care specialty. Kelly, John can be contacted via phone (614) 722-3108.

Contact Information

Primary practice address
700 Childrens Dr Department Of Pediatric Cardiology Columbus OH 43205-2664
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 35-127016 Ohio
Allopathic & Osteopathic Physicians / Pediatric Cardiology 2080P0202X 35-127016 Ohio

Profile Details

NPI number 1346507340
LBN Legal business name Kelly, John
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 13th, 2012
Last updated Feb 11th, 2022 - about 2 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 1346507340 NPPES
Ohio MEDICAID 0191976

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