Kelly, Ralph Michael

Kelly, Ralph Michael is an individual health care provider with primary practice located at 2205 Jolly Rd Ste B, Okemos MI 48864-3983. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Occupational Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Kelly, Ralph Michael can be contacted via phone (517) 347-4085.

Contact Information

Primary practice address
2205 Jolly Rd Ste B Okemos MI 48864-3983
Phone: (517) 347-4085
Fax: (517) 347-4170
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 4301037517 Michigan
Allopathic & Osteopathic Physicians / Occupational Medicine 2083X0100X 4301037517 Michigan

Profile Details

NPI number 1578518817
LBN Legal business name Kelly, Ralph Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2006
Last updated Jul 10th, 2014 - 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 1578518817 NPPES
Michigan Other 1103303981 BCBS/BCN
Michigan Other 76-00059 BCBS/BCN
Michigan Other 1015806 BCBS/BCN
Michigan Other 04-70140 BCBS/BCN
Michigan Other 200000002216 BCBS/BCN
Michigan MEDICAID 4617125 BCBS/BCN
Michigan Other 1015806 BCBS/BCN
Michigan MEDICAID 4848060 BCBS/BCN
Michigan Other 04-00140 BCBS/BCN
Michigan Other 5685669 BCBS/BCN
Michigan Other 76-70048 BCBS/BCN
Michigan Other P00142308 BCBS/BCN

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