Individual
MR. MICHAEL C KELLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1 MEDICAL VILLAGE DR, EDGEWOOD, KY 41017-3403
(859) 341-7246
(859) 341-7867
Mailing address
PO BOX 12749, COVINGTON, KY 41012-0749
(859) 341-7246
(859) 341-7867
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
136201
OH
367500000X
Certified Registered Nurse Anesthetist
Primary
028218
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000373372
ANTHEM
OH
01
—
000000555281
ANTHEM
—
05
—
0798892
—
OH
05
—
200304960
—
IN
05
—
74282187
—
KY
01
—
9318802
PHCS
—
01
—
P00261495
RAILROAD MEDICARE PALMETT
OH
Enumeration date
04/28/2006
Last updated
05/01/2008
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us