Kels, Barry Dana
Kels, Barry Dana is an individual health care provider with primary practice located at 19 Woodland St Suite 41, Hartford CT 06105-2372. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Ophthalmology. Other Service Providers / Specialist is his primary health care specialty. Kels, Barry Dana can be contacted via phone (860) 249-2020.Contact Information
Primary practice address
19 Woodland St Suite 41
Hartford CT 06105-2372
Phone: (860) 249-2020
Fax: (860) 246-7549
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 021553 | Connecticut |
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 021553 | Connecticut |
Profile Details
| NPI number | 1558394874 |
|---|---|
| LBN Legal business name | Kels, Barry Dana |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 9th, 2006 |
| Last updated | Dec 14th, 2011 - about 15 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1558394874 | NPPES |
| Connecticut | Other | 010021553CT01 | BC/BS PROVIDER ID |
| Connecticut | Other | 83840 | BC/BS PROVIDER ID |
| Connecticut | Other | 0S2291 | BC/BS PROVIDER ID |
| Connecticut | Other | 079001 | BC/BS PROVIDER ID |
| Connecticut | Other | HAS281 | BC/BS PROVIDER ID |
| Connecticut | MEDICAID | 001215532 | BC/BS PROVIDER ID |
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