Wayne J Kelly Md

LBN: Wayne J Kelly Md
Wayne J Kelly Md is an health care organization with primary practice located at 301 E Florida Ave Ste E , Hemet CA 92543-4253. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Wayne J Kelly Md can be contacted via phone (951) 929-2753, or through Kelly, Wayne J via phone (951) 929-2753.

Contact Information

Primary practice address
301 E Florida Ave Ste E Hemet CA 92543-4253
Phone: (951) 929-2753
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Kelly, Wayne J Doctor of Medicine (MD)
Phone: (951) 929-2753

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X

Profile Details

NPI number 1487822805
LBN Legal business name Wayne J Kelly Md
DBA Doing business as
Authorized official Kelly, Wayne J Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 19th, 2008
Last updated Sep 23rd, 2008 - about 16 years 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 1487822805 NPPES
California MEDICAID GR0079650

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