Kelly, Michael James
Kelly, Michael James is an individual health care provider with primary practice located at 300 W Hospital Rd Eisenhower Army Medical Center, Fort Gordon GA 30905-5741. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Kelly, Michael James can be contacted via phone (504) 319-6598.Contact Information
Primary practice address
300 W Hospital Rd Eisenhower Army Medical Center
Fort Gordon GA 30905-5741
Phone: (504) 319-6598
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 63909 | Georgia |
Allopathic & Osteopathic Physicians / General Practice | 208D00000X | 35228 | South Carolina |
Profile Details
NPI number | 1801044714 |
---|---|
LBN Legal business name | Kelly, Michael James |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Sep 4th, 2008 |
Last updated | Aug 29th, 2013 - about 11 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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