Kelly, Steven Mark

Kelly, Steven Mark is an individual health care provider with primary practice located at 2600 6Th St Sw Aultman Hospital, Canton OH 44710-1702. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Kelly, Steven Mark can be contacted via phone (330) 452-9911.

Contact Information

Primary practice address
2600 6Th St Sw Aultman Hospital Canton OH 44710-1702
Phone: (330) 452-9911
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 35080037 Ohio

Profile Details

NPI number 1629086475
LBN Legal business name Kelly, Steven Mark
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 4th, 2006
Last updated Nov 3rd, 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 1629086475 NPPES
Ohio MEDICAID 2345966

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