| 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 |
|---|---|
| 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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