Individual
PATRICIA KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1600 MEDICAL CENTER DRIVE, SUITE 3500, HUNTINGTON, WV 25701
(304) 691-1300
(304) 691-1375
Mailing address
1600 MEDICAL CENTER DRIVE, SUITE 1300, HUNTINGTON, WV 25701
(304) 691-1300
(304) 691-1375
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
11577
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000178437
ANTHEM
WV
01
—
001709560
MT. STATE
WV
05
—
0525293
—
OH
05
—
64695224
—
KY
Enumeration date
01/23/2006
Last updated
12/22/2021
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