Vincent, William Kelly

Vincent, William Kelly is an individual health care provider with primary practice located at 222 Phillip Stone Way , Central City KY 42330-1929. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Addiction Medicine. Allopathic & Osteopathic Physicians / Addiction Medicine is his primary health care specialty. Vincent, William Kelly can be contacted via phone (270) 754-3494.

Contact Information

Primary practice address
222 Phillip Stone Way Central City KY 42330-1929
Phone: (270) 754-3494
Fax: (270) 754-3499
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 36099 Kentucky
Allopathic & Osteopathic Physicians / Addiction Medicine 207QA0401X 36099 Kentucky

Profile Details

NPI number 1801897855
LBN Legal business name Vincent, William Kelly
Credentials MD, FASAM
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 2nd, 2005
Last updated Oct 20th, 2022 - about 3 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 1801897855 NPPES
Kentucky MEDICAID 64017379

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