institution
Lawrence B. Kelly, Md Pllc
NPI 1295947844

Lawrence B. Kelly, Md Pllc is a Specialist based in Charleston, WV. Lawrence B. Kelly, Md Pllc practices in South Charleston, WV. The NPI Number for Lawrence B. Kelly, Md Pllc is 1295947844 and holds a License No. (West Virginia).

The current practice location address for Lawrence B. Kelly, Md Pllc is 4825 Maccorkle Ave Sw Ste C, South Charleston, WV and can be reached out via phone at 304-343-1022 and via fax at 304-343-1025.

Location: 4825 Maccorkle Ave Sw Ste C, South Charleston, WV, 25339-1850
institution
Provider Profile Details
NPI Number
1295947844
Provider Name
Lawrence B. Kelly, Md Pllc
Credential
Provider Entity Type
Organization
Address
4825 Maccorkle Ave Sw Ste C, South Charleston, WV, 25339-1850
Phone Number
304-343-1022
Fax Number
304-343-1025
Provider Enumeration Date
05/04/2007
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
3810011496 05 WV
001720795 01 WV BLUE CROSS BLUE SHIELD
DN1230 01 WV MEDICARE RAILROAD
institution
Provider Business Practice Location Address Details
Address
4825 Maccorkle Ave Sw Ste C
City
State
Zip
25309-1365
Phone Number
304-343-1022
Fax Number
304-343-1025
person
Provider Business Mailing Address Details
Address
4825 Maccorkle Ave Sw Ste C
City
State
Zip
25309-1365
Phone Number
304-343-1022
Fax Number
304-343-1025
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
License No.
()
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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