Kelsey, Robert C
Kelsey, Robert C is an sole proprietor health care provider with primary practice located at 2720 Us Highway 1 S Ste B, St Augustine FL 32086-6301. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Kelsey, Robert C can be contacted via phone (904) 827-0078.Contact Information
Primary practice address
2720 Us Highway 1 S Ste B
St Augustine FL 32086-6301
Phone: (904) 827-0078
Fax: (904) 827-0140
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | ME58662 | Florida |
Profile Details
NPI number | 1831284306 |
---|---|
LBN Legal business name | Kelsey, Robert C |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Oct 3rd, 2006 |
Last updated | Apr 11th, 2014 - about 10 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 | 1831284306 | NPPES |
Florida | MEDICAID | 377818500 | |
Florida | Other | P00157250 |
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