Kelly, Patrick J

Kelly, Patrick J is an sole proprietor health care provider with primary practice located at 125 E Otterman St , Greensburg PA 15601-2509. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Kelly, Patrick J can be contacted via phone (724) 838-7700.

Contact Information

Primary practice address
125 E Otterman St Greensburg PA 15601-2509
Fax: (724) 838-7200
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X DC007119L Pennsylvania

Profile Details

NPI number 1194703850
LBN Legal business name Kelly, Patrick J
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 4th, 2006
Last updated May 7th, 2013 - about 11 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 1194703850 NPPES
Pennsylvania MEDICAID 01681801

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