Kelly, Michael Thomas

Kelly, Michael Thomas is an sole proprietor health care provider with primary practice located at 1900 Electric Rd , Salem VA 24153-7474. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Spinal Cord Injury Medicine, Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation. Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation is his primary health care specialty. Kelly, Michael Thomas can be contacted via phone (817) 284-9850.

Contact Information

Primary practice address
1900 Electric Rd Salem VA 24153-7474
Phone: (817) 284-9850
Fax: (817) 720-9892
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Spinal Cord Injury Medicine 2081P0004X 2011-01909 North Carolina
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 2011-01909 North Carolina

Profile Details

NPI number 1063449130
LBN Legal business name Kelly, Michael Thomas
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 26th, 2006
Last updated Jun 3rd, 2019 - 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 1063449130 NPPES
North Carolina MEDICAID 5919524

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