Individual
DR. PAUL DANIEL KELSEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
250 PARK ST, BOWLING GREEN, KY 42101-1760
(270) 393-1912
(270) 393-1913
Mailing address
825 2ND AVE, SUITE C6, BOWLING GREEN, KY 42101-1786
(270) 393-1912
(270) 393-1913
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
269670
NY
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
47464
KY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100318730
—
KY
Enumeration date
03/03/2010
Last updated
09/08/2016
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