Kelly, Kevin Michael

Kelly, Kevin Michael is an sole proprietor health care provider with primary practice located at 20 Summer St , Rockland ME 04841-2918. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Kelly, Kevin Michael can be contacted via phone (207) 594-0000.

Contact Information

Primary practice address
20 Summer St Rockland ME 04841-2918
Fax: (207) 596-7131
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X CR 1449 Maine

Profile Details

NPI number 1801006515
LBN Legal business name Kelly, Kevin Michael
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 23rd, 2007
Last updated Jul 8th, 2007 - about 19 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 1801006515 NPPES
Maine MEDICAID 187560000

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