Kelly Business Ventures | |
1325 Lee Road 212 Phenix City AL 36870-8489 | |
(706) 615-9994 | |
Not Available |
Full Name | Kelly Business Ventures |
---|---|
Speciality | Counselor |
Location | 1325 Lee Road 212, Phenix City, Alabama |
Authorized Official Name and Position | Matthew Kelly (OWNER) |
Authorized Official Contact | 7066159994 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Kelly Business Ventures 1325 Lee Road 212 Phenix City AL 36870-8489 Ph: (706) 615-9994 | Kelly Business Ventures 1325 Lee Road 212 Phenix City AL 36870-8489 Ph: (706) 615-9994 |
NPI Number | 1346693389 |
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Provider Enumeration Date | 07/14/2016 |
Last Update Date | 07/14/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1346693389 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101Y00000X | Counselor | (* (Not Available)) | Primary |
343900000X | Non-emergency Medical Transport (van) | (* (Not Available)) | Secondary |
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