MEDICARE: KELBY L FRAME MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2085R0202X	Diagnostic Radiology Physician	MD070978L	PA
2	2085R0202X	Diagnostic Radiology Physician	35.079795	OH
3	2085R0202X	Diagnostic Radiology Physician	202520	WV

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	340891903 (SUFFIX)	OTHER	WV	BC/BS INDIVIDUAL PIN NO
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	300127690	OTHER	WV	RR MDCR PIN NUMBER
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1891795324
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KELBY L FRAME MD

Provider Business Mailing Address
First Line	:	PO BOX 5307
Second Line	:
City	:	LIMA
State	:	OH
Zip	:	45802-5307
Country	:	US
Telephone Number	:	866-497-8222
Fax Number	:

Provider Business Practice Location Address
First Line	:	1 MEDICAL PARK
Second Line	:
City	:	WHEELING
State	:	WV
Zip	:	26003-6379
Country	:	US
Telephone Number	:	304-243-3270
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/27/2005
Last Update Date	:	04/06/2022

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Directions to “ KELBY L FRAME MD” Practice Location

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