Chin, Kelly

Chin, Kelly is an sole proprietor health care provider with primary practice located at 829 57Th St 2Nd Floor, Brooklyn NY 11220-3617. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Gastroenterology. Allopathic & Osteopathic Physicians / Gastroenterology is his primary health care specialty. Chin, Kelly can be contacted via phone (718) 871-2511.

Contact Information

Primary practice address
829 57Th St 2Nd Floor Brooklyn NY 11220-3617
Phone: (718) 871-2511
Fax: (718) 871-0062
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 195950 New York
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 195950 New York

Profile Details

NPI number 1922028067
LBN Legal business name Chin, Kelly
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 20th, 2006
Last updated Mar 11th, 2025 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1922028067 NPPES
New York MEDICAID 01774758

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