Kelly, James J

Kelly, James J is an individual health care provider with primary practice located at 3925 Sheridan Dr , Amherst NY 14226-1738. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hand Surgery, which is considered as his primary health care specialty. Kelly, James J can be contacted via phone (716) 250-9999.

Contact Information

Primary practice address
3925 Sheridan Dr Amherst NY 14226-1738
Phone: (716) 250-9999
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hand Surgery 207XS0106X 189303 New York

Profile Details

NPI number 1871593053
LBN Legal business name Kelly, James J
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 28th, 2005
Last updated Mar 1st, 2018 - about 8 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 1871593053 NPPES
New York Other OPCOS189303 WORKERS COMPENSATION BOAR
New York MEDICAID 01438013 WORKERS COMPENSATION BOAR
New York Other 0905716 WORKERS COMPENSATION BOAR
New York Other 000524163001 WORKERS COMPENSATION BOAR
New York Other 00010089101 WORKERS COMPENSATION BOAR

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