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:
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Health care specialties

SpecialtyCodeLicense #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 5 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 1083685523 NPPES
New Jersey MEDICAID 1649302
New Jersey Other C06695

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