KELLEYKARE LLC NPI 1033447271

NPI Information

NPI: 1033447271
Provider Name: KELLEYKARE LLC
Classification: Point of Service - 305S00000X
Entity Type: Organization
Address:
103 ATLANTIC AVE
SOMERS POINT, NJ
ZIP 08244
Phone: (609) 703-4336
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KELLEYKARE LLC is a point of service in Somers Point, NJ. The provider is this product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost. KELLEYKARE LLC NPI is 1033447271. The provider is registered as an organization entity type.

The provider's business location address is:

103 ATLANTIC AVE
SOMERS POINT, NJ
ZIP 08244-171
Phone: (609) 703-4336

The provider's authorized official is Gloria Anne Kelley .
The authorized official title is President and has the following contact phone number (609) 703-4336.

The enumeration date for this NPI number is 11/30/2009 and was last updated on 11/7/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	305S00000X	Point of Service				Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0400311125	MEDICARE PIN	NEW JERSEY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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