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Individual
RALPH MICHAEL KELLY
Active
Individual
RALPH MICHAEL KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301037517
MI
2083X0100X
Occupational Medicine Physician
4301037517
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04-00140
PHP
MI
01
—
04-70140
PHP FAMILYCARE
MI
01
—
1015806
MCLAREN HEALTH PLAN
MI
01
—
1103303981
BCBS/BCN
MI
01
—
200000002216
PHYSICIANS HEALTH PLAN
MI
05
—
4617125
—
MI
05
—
4848060
—
MI
01
—
5685669
AETNA
MI
01
—
76-00059
PHP
MI
01
—
76-70048
PHP FAMILYCARE
MI
01
—
P00142308
RAILROAD MEDICARE
MI
Enumeration date
05/24/2006
Last updated
07/10/2014
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