Nicholas Owen Kelley
M.D. | Pediatrics | Male
Nicholas Owen Kelley, M.D. is a Decatur, Georgia based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Nicholas Owen Kelley is
125 Clairemont Ave Ste 190, Decatur, Georgia - 30030. He can be contacted on phone at
404-748-9691.
Nicholas Owen Kelley is a sole proprietor of his business.
NPI number (Unique professional ID) for Nicholas Owen Kelley is
1861729709 which was assigned by NPPES on 13 Nov, 2009 and it was last updated on 07 May, 2019.
Nicholas Owen Kelley license number is
35675 for Pediatrics (208000000X) in South Carolina.
Nicholas Owen Kelley is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Nicholas Owen Kelley basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
Specialization : | Pediatrics |
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Provider Name : | Nicholas Owen Kelley |
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Credential : | M.D. |
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Gender : | Male |
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Business Address:
Nicholas Owen Kelley address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
Primary Address : | 125 Clairemont Ave Ste 190 Decatur, GA, 30030 United States |
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Phone Number : | 404-748-9691 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
NPI Number : | 1861729709 |
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NPI Entity Type : | Individual |
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First Enrolment Date : | 13 Nov, 2009 |
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Last Updated On : | 07 May, 2019 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Nicholas Owen Kelley are as mentioned. Primary taxonomy code for Nicholas Owen Kelley, M.D. is
208000000X (Pediatrics).
Taxonomy Code | Speciality | Primary | License No. | State |
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208000000X | Pediatrics | Yes | 35675 | SC |
Legacy Identifiers:
Other legacy medical identifiers of Nicholas Owen Kelley such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
Identifier | Identifier Type | State | Issuer |
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356750 | MEDICAID | SC | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
Mailing Address : | 1875 Century Blvd Ne Ste 150 Atlanta, GA, 30345-3323 United States |
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Phone Number : | 404-633-4595 |
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Business Location:
Patients can refer following map for directions to
Nicholas Owen Kelley practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.