Kelly, Patrick
Kelly, Patrick is an sole proprietor health care provider with primary practice located at 1400 S Orange Ave , Orlando FL 32806-2134. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Radiation Oncology. Allopathic & Osteopathic Physicians / Radiation Oncology is his primary health care specialty. Kelly, Patrick can be contacted via phone (407) 648-3800.Contact Information
Primary practice address
1400 S Orange Ave
Orlando FL 32806-2134
Phone: (407) 648-3800
Fax: (407) 425-5203
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | TRN11507 | Florida |
| Allopathic & Osteopathic Physicians / Radiation Oncology | 2085R0001X | ME112281 | Florida |
Profile Details
| NPI number | 1043417405 |
|---|---|
| LBN Legal business name | Kelly, Patrick |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 29th, 2007 |
| Last updated | Nov 9th, 2016 - about 8 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 | 1043417405 | NPPES |
| Florida | Other | ME112281 | MEDICAL LICENSE |
| Florida | MEDICAID | 006099100 | MEDICAL LICENSE |
Popular Providers
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