Kelly, Anna B

Kelly, Anna B is an individual health care provider with primary practice located at 81 E Clinton Ave , Tenafly NJ 07670-2102. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neuroradiology, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is her primary health care specialty. Kelly, Anna B can be contacted via phone (201) 233-5726.

Contact Information

Primary practice address
81 E Clinton Ave Tenafly NJ 07670-2102
Phone: (201) 233-5726
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neuroradiology 2085N0700X 154584-1 New York
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 154584-1 New York
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X MA52932 New Jersey

Profile Details

NPI number 1184655375
LBN Legal business name Kelly, Anna B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 5th, 2006
Last updated Feb 3rd, 2021 - about 5 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 1184655375 NPPES
New York MEDICAID 01202868
New York Other 02186203
New York Other W35021

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