Kelly, Richard J

Kelly, Richard J is an individual health care provider with primary practice located at 23625 Holman Highway , Monterey CA 93940. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Kelly, Richard J can be contacted via phone (831) 624-5311.

Contact Information

Primary practice address
23625 Holman Highway Monterey CA 93940
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X G80029 California

Profile Details

NPI number 1346205663
LBN Legal business name Kelly, Richard J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 19th, 2006
Last updated Jan 27th, 2010 - about 14 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 1346205663 NPPES
California MEDICAID 00G800290
California MEDICAID 100510377

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