Individual
ERNEST COLLYER KELLING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
52 MAIN STREET, BEDFORD HILLS, NY 10507-1814
(914) 666-3320
(914) 666-3340
Mailing address
52 MAIN STREET, BEDFORD HILLS, NY 10507-1814
(914) 666-3320
(914) 666-3340
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
057385
GA
2085R0202X
Diagnostic Radiology Physician
36743
CO
2085R0202X
Diagnostic Radiology Physician
42244-20
WI
2085R0202X
Diagnostic Radiology Physician
4301086983
MI
2085R0202X
Diagnostic Radiology Physician
Primary
MD0000039320
TN
2085R0202X
Diagnostic Radiology Physician
R7644
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
52173036002
BCBS
GA
01
—
60043290
BCBS
AL
05
—
825971709A
—
GA
Enumeration date
07/27/2006
Last updated
03/24/2016
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