Kelly, Stephen Michael

Kelly, Stephen Michael is an individual health care provider with primary practice located at 130 Division St , Derby CT 06418-1326. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Kelly, Stephen Michael can be contacted via phone (203) 735-7421.

Contact Information

Primary practice address
130 Division St Derby CT 06418-1326
Phone: (203) 735-7421
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 69876 Connecticut
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 25MB09297100 New Jersey

Profile Details

NPI number 1558504258
LBN Legal business name Kelly, Stephen Michael
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 9th, 2009
Last updated Sep 20th, 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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