Kelty, Lester

Kelty, Lester is an individual health care provider with primary practice located at 2701 17Th St , Rock Island IL 61201-5351. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Kelty, Lester can be contacted via phone (309) 779-5000.

Contact Information

Primary practice address
2701 17Th St Rock Island IL 61201-5351
Phone: (309) 779-5000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 036056379 Illinois

Profile Details

NPI number 1053371989
LBN Legal business name Kelty, Lester
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 24th, 2006
Last updated Dec 8th, 2011 - about 13 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 1053371989 NPPES
Other 036056379 BCILLINIOS
MEDICAID 2927525 BCILLINIOS
MEDICAID 1927525 BCILLINIOS
Other 91481 BCILLINIOS
Other 143400 BCILLINIOS
Other 93361 BCILLINIOS
Other IL0181 BCILLINIOS

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