Kelly, Patrick

Kelly, Patrick is an individual health care provider with primary practice located at 1313 E 32Nd St , Silver City NM 88061-6303. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Kelly, Patrick can be contacted via phone (575) 538-4124.

Contact Information

Primary practice address
1313 E 32Nd St Silver City NM 88061-6303
Phone: (575) 538-4124
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X MD2021-0710 New Mexico

Profile Details

NPI number 1659571412
LBN Legal business name Kelly, Patrick
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 20th, 2007
Last updated Oct 3rd, 2021 - about 4 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 1659571412 NPPES
New Jersey Other 390200000X MONMOUTH

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