Kelly, Michael R

Kelly, Michael R is an individual health care provider with primary practice located at 458 Talcottville Rd , Vernon CT 06066-4052. He recently has only one registered license in Eye and Vision Services Providers / Optician, which is considered as his primary health care specialty. Kelly, Michael R can be contacted via phone (860) 875-6156.

Contact Information

Primary practice address
458 Talcottville Rd Vernon CT 06066-4052
Phone: (860) 875-6156
Fax: (860) 872-3828
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optician 156FX1800X 000733 Connecticut

Profile Details

NPI number 1043693468
LBN Legal business name Kelly, Michael R
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 2nd, 2015
Last updated Jul 2nd, 2015 - about 10 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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