Kelly, Michael Walker
Kelly, Michael Walker is an individual health care provider with primary practice located at 8851 Ellstree Ln Suite 200, Raleigh NC 27617-2045. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Kelly, Michael Walker can be contacted via phone (919) 282-1100.Contact Information
Primary practice address
8851 Ellstree Ln Suite 200
Raleigh NC 27617-2045
Phone: (919) 282-1100
Fax: (919) 282-1119
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 38107 | North Carolina |
Profile Details
| NPI number | 1013956150 |
|---|---|
| LBN Legal business name | Kelly, Michael Walker |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 5th, 2006 |
| Last updated | Apr 29th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1013956150 | NPPES |
| North Carolina | MEDICAID | 8911179 |
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