Kelly, Sean

Kelly, Sean is an individual health care provider with primary practice located at 123 Medical Center Dr , Brunswick ME 04011-2652. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Kelly, Sean can be contacted via phone (207) 373-1025.

Contact Information

Primary practice address
123 Medical Center Dr Brunswick ME 04011-2652
Phone: (207) 373-1025
Fax: (207) 373-1026
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X MD14937 Maine

Profile Details

NPI number 1659451045
LBN Legal business name Kelly, Sean
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 17th, 2006
Last updated Jun 29th, 2017 - about 9 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 1659451045 NPPES
Maine Other 041366 ANTHEM BLUE CROSS
Maine Other 050092018 ANTHEM BLUE CROSS
Maine MEDICAID 195860099 ANTHEM BLUE CROSS

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