Willis, John Kelver

Willis, John Kelver is an sole proprietor health care provider with primary practice located at 2810 E Causeway Approach , Mandeville LA 70448-3502. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology, which is considered as his primary health care specialty. Willis, John Kelver can be contacted via phone (985) 875-2340.

Contact Information

Primary practice address
2810 E Causeway Approach Mandeville LA 70448-3502
Phone: (985) 875-2340
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology 2084N0402X MD.04407R Louisiana

Profile Details

NPI number 1609894765
LBN Legal business name Willis, John Kelver
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 17th, 2006
Last updated Dec 27th, 2007 - about 18 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 1609894765 NPPES
Louisiana MEDICAID 1190951
Louisiana MEDICAID 00125480

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