Kelly, Lane Anthony

Kelly, Lane Anthony is an sole proprietor health care provider with primary practice located at 307 Boatner Rd Ste 114 , Eglin Afb FL 32542-1302. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Military Health Care Provider, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / General Practice is his primary health care specialty. Kelly, Lane Anthony can be contacted via phone (850) 883-9501.

Contact Information

Primary practice address
307 Boatner Rd Ste 114 Eglin Afb FL 32542-1302
Phone: (850) 883-9501
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Military Health Care Provider 171000000X
Allopathic & Osteopathic Physicians / General Practice 208D00000X U6993 Texas

Profile Details

NPI number 1306589700
LBN Legal business name Kelly, Lane Anthony
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 14th, 2022
Last updated Feb 9th, 2024 - about last year

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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