Kelly, Scott Patrick

Kelly, Scott Patrick is an individual health care provider with primary practice located at Oaklawn Hospital 200 N. Madison St., Marshall MI 49068. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Kelly, Scott Patrick can be contacted via phone (269) 781-7040.

Contact Information

Primary practice address
Oaklawn Hospital 200 N. Madison St. Marshall MI 49068
Phone: (269) 781-7040
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 29476 Arizona

Profile Details

NPI number 1467434357
LBN Legal business name Kelly, Scott Patrick
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 16th, 2005
Last updated Jul 8th, 2007 - about 17 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 1467434357 NPPES
Arizona MEDICAID 752726
Arizona Other 3981220
Arizona Other AW1436
Arizona Other AZ0728670

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