Kelly, Nicholas
Kelly, Nicholas is an individual health care provider with primary practice located at 1558 Riverstone Pkwy Ste 100 , Canton GA 30114-2888. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Kelly, Nicholas can be contacted via phone (404) 785-5437.Contact Information
Primary practice address
1558 Riverstone Pkwy Ste 100
Canton GA 30114-2888
Phone: (404) 785-5437
Fax: (404) 785-4683
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 73648 | Georgia |
Profile Details
| NPI number | 1083876890 |
|---|---|
| LBN Legal business name | Kelly, Nicholas |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 2nd, 2008 |
| Last updated | Jun 6th, 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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