Kernersville Primary Care
LBN: William S. Kelly Md Pa
Kernersville Primary Care is an health care organization with primary practice located at 420 W Mountain St , Kernersville NC 27284-2534. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Geriatric Medicine. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty.
William S. Kelly Md Pa can be contacted via phone (336) 993-1618, or through Kelly, Joanelle V via phone (336) 993-1618.
Contact Information
Primary practice address
420 W Mountain St
Kernersville NC 27284-2534
Phone: (336) 993-1618
Fax: (336) 993-5512
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 40743 | North Carolina |
| Allopathic & Osteopathic Physicians / Geriatric Medicine | 207QG0300X | 40743 | North Carolina |
Profile Details
| NPI number | 1972566933 |
|---|---|
| LBN Legal business name | William S. Kelly Md Pa |
| DBA Doing business as | Kernersville Primary Care |
| Authorized official | Kelly, Joanelle V |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Apr 10th, 2006 |
| Last updated | Oct 24th, 2013 - about 11 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1972566933 | NPPES |
| North Carolina | Other | 080107394 | RR MEDICARE |
| North Carolina | MEDICAID | 890293K | RR MEDICARE |
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