Lawrence B. Kelly, Md Pllc

LBN: Lawrence B. Kelly, Md Pllc
Lawrence B. Kelly, Md Pllc is an health care organization with primary practice located at 4825 Maccorkle Ave Sw Ste C , South Charleston WV 25309-1365. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Lawrence B. Kelly, Md Pllc can be contacted via phone (304) 343-1022, or through Kelly, Lawrence Bennett via phone (304) 343-1022.

Contact Information

Primary practice address
4825 Maccorkle Ave Sw Ste C South Charleston WV 25309-1365
Phone: (304) 343-1022
Fax: (304) 343-1025
Website:
Map and Directions
Authorized official contact:
Name: Kelly, Lawrence Bennett Doctor of Medicine (MD)
Phone: (304) 343-1022

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X

Profile Details

NPI number 1295947844
LBN Legal business name Lawrence B. Kelly, Md Pllc
DBA Doing business as
Authorized official Kelly, Lawrence Bennett Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 4th, 2007
Last updated Feb 9th, 2024 - about 9 months ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1295947844 NPPES
West Virginia MEDICAID 3810011496
West Virginia Other 001720795
West Virginia Other DN1230

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