Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VX0201X | Gynecologic Oncologist | 00019355 | AL |
NPI | 1306831243 |
---|---|
Provider Name | Frank J. Kelly II |
First Address | Huntsville, AL 35804-2705 |
Second Address | Huntsville, AL 35801-5134 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/09/2005 |
Last Update Date | 11/01/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
009941926 | (05) | AL |
009955755 | (05) | AL |
051535231 | (02) | AL |
2230930 | FIRST HEALTH PROVIDER # (01) | AL |
510-50070 | BCBS OF ALABAMA (01) | AL |
515-19377 | BCBS OF AL PROVIDER # (01) | AL |
515-35231 | BCBS OF AL (01) | AL |
528701110 | (05) | AL |
5492768 | CCN PROVIDER NUMBER (01) | AL |
7008083 | AETNA PROVIDER NUMBER (01) | AL |
CA0084 | RR MEDICARE (01) | AL |
DD6388 | RAILROAD MCARE PROV. # (01) | AL |
G38565 | (02) | AL |
G38565 | VIVA HEALTH PROVIDER # (01) | AL |
P00603054 | RR MEDICARE (01) | AL |