Individual
JERRY KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1061 HARMON AVE, FORT STEWART, GA 31314-5641
(912) 435-5211
Mailing address
1061 HARMON AVE, FORT STEWART, GA 31314-5641
(912) 435-5211
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
Primary
E3038628
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
E3038628
NREMT
—
Enumeration date
09/12/2014
Last updated
09/12/2014
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us