Kelley, John J

Kelley, John J is an individual health care provider with primary practice located at 1107 Kenilworth Dr Suite 310, Towson MD 21204-2140. He recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Ocularist, Technologists, Technicians & Other Technical Service Providers / Specialist/Technologist, Other. Eye and Vision Services Providers / Ocularist is his primary health care specialty. Kelley, John J can be contacted via phone (410) 828-5628.

Contact Information

Primary practice address
1107 Kenilworth Dr Suite 310 Towson MD 21204-2140
Phone: (410) 828-5628
Fax: (419) 828-5629
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Ocularist 156FX1700X
Technologists, Technicians & Other Technical Service Providers / Specialist/Technologist, Other 246Z00000X

Profile Details

NPI number 1942374731
LBN Legal business name Kelley, John J
Credentials BCO
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 20th, 2006
Last updated Mar 28th, 2008 - about 18 years ago

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 1942374731 NPPES
Maryland Other Y391 FED BC BS
Maryland Other 52455501 FED BC BS

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