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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1629086475 | NPPES |
| Ohio | MEDICAID | 2345966 |
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