Molpus, Kelly L

Molpus, Kelly L is an individual health care provider with primary practice located at 303 N Clyde Morris Blvd Halifax Health Regional Oncology, Daytona Beach FL 32114-2709. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gynecologic Oncology, which is considered as his primary health care specialty. Molpus, Kelly L can be contacted via phone (386) 254-4212.

Contact Information

Primary practice address
303 N Clyde Morris Blvd Halifax Health Regional Oncology Daytona Beach FL 32114-2709
Phone: (386) 254-4212
Fax: (386) 254-4214
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gynecologic Oncology 207VX0201X ME89335 Florida

Profile Details

NPI number 1699877506
LBN Legal business name Molpus, Kelly L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 1st, 2006
Last updated Aug 10th, 2012 - about 12 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 1699877506 NPPES
Florida MEDICAID 271552000

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