Kelly Medical Corporation

LBN: Kelly Medical Services Corporation Llc
Kelly Medical Corporation is an health care organization with primary practice located at 454 Mcdowell St , Welch WV 24801-2029. The organization recently has 10 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Geriatric Medicine, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Clinical Pathology/Laboratory Medicine, Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Emergency Medicine is the primary health care specialty. Kelly Medical Services Corporation Llc can be contacted via phone (304) 436-8461, or through Dabbs, Randal L via phone (865) 693-1000.

Contact Information

Primary practice address
454 Mcdowell St Welch WV 24801-2029
Phone: (304) 436-8461
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Dabbs, Randal L Doctor of Medicine (MD)
Phone: (865) 693-1000

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Allopathic & Osteopathic Physicians / Geriatric Medicine 207QG0300X
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X
Allopathic & Osteopathic Physicians / Clinical Pathology/Laboratory Medicine 207ZP0105X
Allopathic & Osteopathic Physicians / Pediatrics 208000000X
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X
Allopathic & Osteopathic Physicians / Surgery 208600000X
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X

Profile Details

NPI number 1033154810
LBN Legal business name Kelly Medical Services Corporation Llc
DBA Doing business as Kelly Medical Corporation
Authorized official Dabbs, Randal L Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 17th, 2006
Last updated Jan 19th, 2015 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1033154810 NPPES
West Virginia MEDICAID 007378000
West Virginia Other 001710014

Popular Providers