Individual
DR. SCOTT PATRICK KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
OAKLAWN HOSPITAL, 200 N. MADISON ST., MARSHALL, MI 49068
(269) 781-7040
Mailing address
333 N GRAND ST, MARSHALL, MI 49068-1109
(480) 221-7599
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
29476
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3981220
EVERCARE GRP NBR
—
05
—
752726
—
AZ
01
—
AW1436
HEALTHNET GRP NBR
AZ
01
—
AZ0728670
BLUECROSS BLUESHIELD GRP
AZ
Enumeration date
11/16/2005
Last updated
07/08/2007
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