Kelly, Michael E
Kelly, Michael E is an sole proprietor health care provider with primary practice located at 1510 N 28Th St Suite 205, Richmond VA 23223-5311. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Kelly, Michael E can be contacted via phone (804) 545-2304.Contact Information
Primary practice address
1510 N 28Th St Suite 205
Richmond VA 23223-5311
Phone: (804) 545-2304
Fax: (804) 545-2306
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 0101246237 | Virginia |
Profile Details
| NPI number | 1083685523 |
|---|---|
| LBN Legal business name | Kelly, Michael E |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 1st, 2006 |
| Last updated | Oct 20th, 2020 - about 4 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 | 1083685523 | NPPES |
| New Jersey | MEDICAID | 1649302 | |
| New Jersey | Other | C06695 |
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