Kelly, Robert A.
Kelly, Robert A. is an individual health care provider with primary practice located at 270 Chastain Rd Nw , Kennesaw GA 30144-3012. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Kelly, Robert A. can be contacted via phone (770) 421-8005.Contact Information
Primary practice address
270 Chastain Rd Nw
Kennesaw GA 30144-3012
Phone: (770) 421-8005
Fax: (770) 424-5662
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 034872 | Georgia |
Profile Details
NPI number | 1609863976 |
---|---|
LBN Legal business name | Kelly, Robert A. |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 3rd, 2005 |
Last updated | Sep 12th, 2016 - about 8 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 | 1609863976 | NPPES |
Georgia | MEDICAID | 000516447N | |
Georgia | MEDICAID | 000516447O | |
Georgia | MEDICAID | 000516447M | |
Georgia | MEDICAID | 000516447B |
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