Kelly, Michael Timothy
Kelly, Michael Timothy is an individual health care provider with primary practice located at 1430 Sw Saint Lucie West Blvd Suite 103, Port Saint Lucie FL 34986-2134. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Kelly, Michael Timothy can be contacted via phone (772) 785-8500.Contact Information
Primary practice address
1430 Sw Saint Lucie West Blvd Suite 103
Port Saint Lucie FL 34986-2134
Phone: (772) 785-8500
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | CH7060 | Florida |
Profile Details
| NPI number | 1982756441 |
|---|---|
| LBN Legal business name | Kelly, Michael Timothy |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 17th, 2007 |
| Last updated | Aug 30th, 2012 - about 12 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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