Kelly, John Thomas

Kelly, John Thomas is an sole proprietor health care provider with primary practice located at 175 Blossom St Unit 1407 , Boston MA 02114-2629. He recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as his primary health care specialty. Kelly, John Thomas can be contacted via phone (215) 527-4684.

Contact Information

Primary practice address
175 Blossom St Unit 1407 Boston MA 02114-2629
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X 036-077958 Illinois

Profile Details

NPI number 1164758892
LBN Legal business name Kelly, John Thomas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 31st, 2009
Last updated Mar 13th, 2023 - about 3 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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