Kelly, Richard Amadeus
Kelly, Richard Amadeus is an sole proprietor health care provider with primary practice located at 730 Parkwood Dr , Cranberry Twp PA 16066-6312. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Kelly, Richard Amadeus can be contacted via phone (724) 779-4334.Contact Information
Primary practice address
730 Parkwood Dr
Cranberry Twp PA 16066-6312
Phone: (724) 779-4334
Fax: (724) 779-4399
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | AJ-007107-L | Pennsylvania |
Profile Details
| NPI number | 1023036431 |
|---|---|
| LBN Legal business name | Kelly, Richard Amadeus |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 17th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1023036431 | NPPES |
| Pennsylvania | Other | 568795 | HIGHMARK BLUE CROSS |
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