Kelly, James Thomas
Kelly, James Thomas is an individual health care provider with primary practice located at 70 N Country Rd Suite 105, Port Jefferson NY 11777-2161. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Kelly, James Thomas can be contacted via phone (631) 642-0609.Contact Information
Primary practice address
70 N Country Rd Suite 105
Port Jefferson NY 11777-2161
Phone: (631) 642-0609
Fax: (631) 642-0588
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 173786 | New York |
Profile Details
| NPI number | 1508943317 |
|---|---|
| LBN Legal business name | Kelly, James Thomas |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 1st, 2006 |
| Last updated | Nov 19th, 2009 - about 17 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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