Kelly, Michael E.

Kelly, Michael E. is an individual health care provider with primary practice located at 832 Brunswick Ave , Trenton NJ 08638-3847. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Kelly, Michael E. can be contacted via phone (609) 396-2600.

Contact Information

Primary practice address
832 Brunswick Ave Trenton NJ 08638-3847
Phone: (609) 396-2600
Fax: (609) 396-3600
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X OS014239 Pennsylvania
Allopathic & Osteopathic Physicians / Surgery 208600000X 25MB08933000 New Jersey

Profile Details

NPI number 1730330861
LBN Legal business name Kelly, Michael E.
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 7th, 2008
Last updated Apr 26th, 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 1730330861 NPPES
New Jersey MEDICAID 0304221

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