Individual
DR. KELLY WILLIAM BIGGS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
187 HOSPITAL DR, TYRONE, PA 16686-1808
(814) 684-1255
(814) 682-1804
Mailing address
131 TREETOPS DR, STATE COLLEGE, PA 16801-2574
(814) 308-8623
(814) 308-8311
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MD437198
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102472424-0001
—
PA
01
—
BI2509742
BLUE SHIELD
PA
Enumeration date
08/19/2008
Last updated
07/16/2013
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