Kelsey, Edwin L
Kelsey, Edwin L is an sole proprietor health care provider with primary practice located at 801 Princeton Ave Sw Pob I Suite 201, Birmingham AL 35211-1310. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Pain Medicine is his primary health care specialty. Kelsey, Edwin L can be contacted via phone (205) 783-7705.Contact Information
Primary practice address
801 Princeton Ave Sw Pob I Suite 201
Birmingham AL 35211-1310
Phone: (205) 783-7705
Fax: (205) 352-4433
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation | 208100000X | 16871 | Alabama |
Allopathic & Osteopathic Physicians / Pain Medicine | 2081P2900X | 16871 | Alabama |
Profile Details
NPI number | 1932106895 |
---|---|
LBN Legal business name | Kelsey, Edwin L |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jul 6th, 2005 |
Last updated | Oct 18th, 2013 - about 12 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 | 1932106895 | NPPES |
Alabama | MEDICAID | 529914300 | |
Alabama | Other | 1841352929 |
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