Kelly Medical Services Corporation Llc, NPI 1033154810
Emergency Medicine Physician in Welch, WV, US
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 |
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 | |
| Taxonomy Name | Emergency Medicine Physician |
| Classification | |
| Group | |
| 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. |
Secondary Taxonomies
| Taxonomy Code | Group | Classification | License No. | State | Primary? |
|---|---|---|---|---|---|
| No | |||||
| No | |||||
| No | |||||
| No | |||||
| No | |||||
| No | |||||
| No | |||||
| No | |||||
| No |
Other Identifiers
| Identifier | Identifier State | Identifier Issuer | Type/Code |
|---|---|---|---|
| 007378000 | WV | MEDICAID | 05 |
| 001710014 | WV | WEST VIRGINIA BLUE SHIELD | 01 |
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