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Contact Information

KENNETH F KELLY
2669 SCENIC DR
ALAMOGORDO, NM88310-8700
 Phone: 575-439-6100
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
Indicates primary specialty

NPI Profile & details for KENNETH F KELLY · (Male)

NPI # 1740255942
Status Active
Credentials
Entity Individual
Enumeration date 02/21/2006
Last updated 03/19/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • FL License # ME142464
  • NM License # MD2010-0081
  • WA License # MD00032760
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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