Kelly, Roy A

Kelly, Roy A is an individual health care provider with primary practice located at 9001 Summa Avenue , Baton Rouge LA 70809-3726. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Kelly, Roy A can be contacted via phone (225) 761-5259.

Contact Information

Primary practice address
9001 Summa Avenue Baton Rouge LA 70809-3726
Phone: (225) 761-5259
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 010587 Louisiana
Allopathic & Osteopathic Physicians / Urology 208800000X MD.010587 Louisiana

Profile Details

NPI number 1306895941
LBN Legal business name Kelly, Roy A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 10th, 2006
Last updated Dec 27th, 2011 - about 13 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 1306895941 NPPES
Louisiana MEDICAID 1336297
Louisiana MEDICAID 05877708
Louisiana Other 340007213

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