Individual
PATRICK KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1313 E 32ND ST, SILVER CITY, NM 88061-6303
(575) 538-4124
Mailing address
16 RED CLIFF TRL, MIMBRES, NM 88049
(580) 320-4880
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MD2021-0710
NM
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
390200000X
MONMOUTH
NJ
Enumeration date
07/20/2007
Last updated
10/03/2021
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