Kelly, Thomas Andrew

Kelly, Thomas Andrew is an individual health care provider with primary practice located at 3200 Northline Ave Suite 250, Greensboro NC 27408-7619. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Interventional Cardiology, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Kelly, Thomas Andrew can be contacted via phone (336) 273-7900.

Contact Information

Primary practice address
3200 Northline Ave Suite 250 Greensboro NC 27408-7619
Phone: (336) 273-7900
Fax: (336) 482-3517
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X 27216 North Carolina
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 27216 North Carolina

Profile Details

NPI number 1902902182
LBN Legal business name Kelly, Thomas Andrew
Credentials M.D. FACC
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 15th, 2006
Last updated Aug 17th, 2021 - about 3 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 1902902182 NPPES
Other 4099262 AETNA
MEDICAID 8911529 AETNA
Other 11529 AETNA

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