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Contact Information

JEFFREY S KELLY, MD
MEDICAL CENTER BLVD
WINSTON-SALEM, NC27157-0001
 Phone: 336-716-2255
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anesthesiology

207L00000X 79 Physician/Addiction Medicine
 

Critical Care Medicine

207LC0200X 05 Physician/Anesthesiology
Indicates primary specialty

NPI Profile & details for JEFFREY S KELLY · (Male)

NPI Number 1477538353
Status Active
Credentials MD
Entity Individual
Enumeration date 12/13/2005
Last updated 12/07/2010 - About 16 years ago
Sole proprietor 1 No
Identifiers
  • NC License # 26281
  • NC Medicaid 8948222
  • VA Medicaid 1467496422
  • Other 9265070 AETNA
  • NC Other 146FE BCBS
  • NC Other 202034 MEDCOST
  • NC Other 810633 PARTNERS
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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