Thomas A. Kelly D.o. P.c., NPI 1366689275
General Practice Physician in Eaton Rapids, MI, 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 | 1366689275 |
| NPI Entity Type | Organization |
| Provider Name | Thomas A. Kelly D.o. P.c. |
| Enumeration Date | September 30, 2009 |
| Last Update Date | September 30, 2009 |
| Provider Location Address | 101 E Spicerville Hwy, Eaton Rapids, MI, US |
| Provider Mailing Address | Po Box 417, Eaton Rapids, MI, US, 488270417 |
| Is Sole Proprietor? | No |
Organization Official
| Official Name | DR. D.O. Thomas A Kelly |
| Official Position | PRESIDENT |
| Phone | 517-663-2705 |
Group Taxonomy
| Taxonomy Code | 193400000X |
| Taxonomy Name | 193400000X SINGLE SPECIALTY GROUP |
| Definition | A business group of one or more individual practitioners, all of who practice with the same area of specialization. |
Primary Taxonomy
| Taxonomy Code | |
| Taxonomy Name | General Practice Physician |
| Classification | |
| Group | |
| License No. | 5101008344 |
| License State | MI |
| Description | Definition to come... |
Other Identifiers
| Identifier | Identifier State | Identifier Issuer | Type/Code |
|---|---|---|---|
| 0152330085 | MI | BLUE CROSS BLUE SHIELD PPO TRUST | 01 |
| 10046150001 | MI | THE WELLNESS PLAN MEDICAID | 01 |
| 0279722 | CIGNA HEALTHCARE | 01 | |
| 0100444 | PHYSICIAN HEALTH PLAN | 01 | |
| 0152330085 | MI | BLUE CHOICE | 01 |
| 3319192 | MI | MEDICAID | 05 |
| 0152330085 | MI | BLUE CROSS BLUE SHIELD MEDICAL PIN | 01 |
| 10046150001 | MI | THE WELLNESS PLAN | 01 |
| 202869 | MI | MCLAREN | 01 |
| 0152330085 | MI | BLUE PREFFERED PLUS | 01 |
| P93421 | MI | BLUE CARE NETWORK | 01 |
| 200000002219 | MI | PHYSICIAN HEALTH PLAN FAMILY CARE | 01 |
| M034742 | CHAMPUS | 01 |
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