Kelly, Stephen J

Kelly, Stephen J is an individual health care provider with primary practice located at 1830 14Th Ave S , Birmingham AL 35205-4969. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Kelly, Stephen J can be contacted via phone (205) 933-2250.

Contact Information

Primary practice address
1830 14Th Ave S Birmingham AL 35205-4969
Fax: (205) 933-2221
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 28419 Alabama

Profile Details

NPI number 1205059169
LBN Legal business name Kelly, Stephen J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 10th, 2007
Last updated Aug 24th, 2016 - about 9 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 1205059169 NPPES
Alabama Other 46-1498286 IRS TAX ID

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