Mccaul, Kelly George

Mccaul, Kelly George is an individual health care provider with primary practice located at 1000 E. 23Rd St. Ste. 200, Sioux Falls SD 57105-2122. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Mccaul, Kelly George can be contacted via phone (605) 322-3035.

Contact Information

Primary practice address
1000 E. 23Rd St. Ste. 200 Sioux Falls SD 57105-2122
Phone: (605) 322-3035
Fax: (605) 322-3036
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 4717 South Dakota

Profile Details

NPI number 1295701522
LBN Legal business name Mccaul, Kelly George
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 27th, 2006
Last updated Oct 16th, 2018 - about 7 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 1295701522 NPPES
Nebraska MEDICAID 46022474342
Nebraska Other 0007443
Nebraska MEDICAID 0536219
Nebraska Other 678061025597
Nebraska Other 74Q10MC
Nebraska Other 3000020
Nebraska Other 57105AH02
Nebraska Other 74Q10MC
Nebraska Other 26746
Nebraska Other 28222
Nebraska Other 1109863
Nebraska Other 4717
Nebraska MEDICAID 6630680
Nebraska Other 820000376
Nebraska Other 92411422911
Nebraska MEDICAID 143425000
Nebraska Other 370624200
Nebraska Other HP32347

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