Kelly, Michael Martin

Kelly, Michael Martin is an individual health care provider with primary practice located at 550 S Goddard Blvd , King Of Prussia PA 19406-2922. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Kelly, Michael Martin can be contacted via phone (445) 428-3000.

Contact Information

Primary practice address
550 S Goddard Blvd King Of Prussia PA 19406-2922
Phone: (445) 428-3000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X SP025663 Pennsylvania

Profile Details

NPI number 1508501396
LBN Legal business name Kelly, Michael Martin
Credentials CRNP
Entity Individual
Sole proprietor 1 No
Enumeration date May 5th, 2022
Last updated May 5th, 2022 - about 2 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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