Individual
MR. THOMAS CHRISTOPHER KELLEY
Active
Individual
MR. THOMAS CHRISTOPHER KELLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
DO150399
OR
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
DO150399
OR
207RP1001X
Pulmonary Disease Physician
02002457A
IN
207RP1001X
Pulmonary Disease Physician
Primary
DO150399
OR
207RS0012X
Sleep Medicine (Internal Medicine) Physician
02002457A
IN
207RS0012X
Sleep Medicine (Internal Medicine) Physician
DO150399
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00887741
MEDICARE RAILROAD
OR
05
—
500622743
—
OR
Enumeration date
08/19/2006
Last updated
04/15/2013
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