Kelly Medical Services Corporation Llc, NPI 1033154810
Emergency Medicine Physician in Welch, WV, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1033154810
NPI Entity Type Organization
Provider Name Kelly Medical Services Corporation Llc
Doing Business As
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Provider Location Address 454 Mcdowell St, Welch, WV, US
Provider Mailing Address Po Box 634712, Cincinnati, OH, US, 452634712
Is Sole Proprietor? No
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Organization Official

Official Name DR. M.D. Randal L Dabbs
Official Position PRESIDENT
Phone 865-693-1000

Group Taxonomy

Taxonomy Code 193200000X
Taxonomy Name 193200000X MULTI-SPECIALTY GROUP
Definition A business group of one or more individual practitioners, who practice with different areas of specialization.

Primary Taxonomy

Taxonomy Code

207P00000X

Taxonomy Name Emergency Medicine Physician
Classification

Emergency Medicine

Group

Allopathic & Osteopathic Physicians

Description An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Other Organization Name

Kelly Medical Corporation
Doing Business As

Business Address

Kelly Medical Services Corporation Llc
454 Mcdowell St

Welch, WV, US

Phone: 304-436-8461

Mailing Address

Kelly Medical Services Corporation Llc
Po Box 634712
Cincinnati, OH, US
ZIP 452634712
Phone: 888-203-1274

Secondary Taxonomies

Other Identifiers

Identifier Identifier State Identifier Issuer Type/Code
007378000 WV MEDICAID 05
001710014 WV WEST VIRGINIA BLUE SHIELD 01

Other Providers in WV, US

NPI Name Taxonomy Address

1255056628

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Montana Wallace

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Mary Mccullough

Individual

Personal Care Attendant

1599 2nd Ave

Charleston, WV

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