Kelsey, Thomas Garvin
Kelsey, Thomas Garvin is an individual health care provider with primary practice located at 2400 Moorpark Ave Moorpark Internal Medicine Clinic, San Jose CA 95128-2631. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Geriatric Medicine. Allopathic & Osteopathic Physicians / Geriatric Medicine is his primary health care specialty. Kelsey, Thomas Garvin can be contacted via phone (408) 885-4612.Contact Information
Primary practice address
2400 Moorpark Ave Moorpark Internal Medicine Clinic
San Jose CA 95128-2631
Phone: (408) 885-4612
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | G38050 | California |
Allopathic & Osteopathic Physicians / Geriatric Medicine | 207RG0300X | G38050 | California |
Profile Details
NPI number | 1528022530 |
---|---|
LBN Legal business name | Kelsey, Thomas Garvin |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Apr 14th, 2006 |
Last updated | Sep 13th, 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 | 1528022530 | NPPES |
California | MEDICAID | 00G380500 |
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