Staley, Kelly A

Staley, Kelly A is an individual health care provider with primary practice located at 2505 College Ave , Conway AR 72034-6135. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Staley, Kelly A can be contacted via phone (501) 327-6000.

Contact Information

Primary practice address
2505 College Ave Conway AR 72034-6135
Phone: (501) 327-6000
Fax: (501) 450-7559
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X E2601 Arkansas

Profile Details

NPI number 1427039049
LBN Legal business name Staley, Kelly A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 10th, 2005
Last updated Jul 8th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1427039049 NPPES
Arkansas Other 5L490 BLUE CROSS

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