Organization
JOHN PAUL KELLY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN PAUL KELLY M.D. (OWNER)
(775) 883-5955
Entity
Organization
Contact information
Practice address
1535 MEDICAL PARKWAY, SUITE B, CARSON CITY, NV 89703
(775) 883-5955
(775) 883-5992
Mailing address
PO BOX 29872, DEPT 29, PHOENIX, AZ 85038-9872
(775) 883-5955
(775) 883-5992
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
1296
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1134283864
MDCR GROUP NPI
NV
01
—
1477512234
DR KELLY INDIV NPI
NV
01
—
1649340738
KARA COLE APN MS INDI NPI
NV
01
—
1962593731
DR MEADORS INDIV NPI
NV
01
—
CC1356
DR KELLY BLUE SHIELD
NV
Enumeration date
12/20/2006
Last updated
11/01/2007
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