Michael J. Kelly Md

LBN: Michael J. Kelly Md
Michael J. Kelly Md is an health care organization with primary practice located at 308 Main St , Lakeville CT 06039-1204. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Michael J. Kelly Md can be contacted via phone (860) 435-3551, or through Kelly, Michael J via phone (860) 435-3551.

Contact Information

Primary practice address
308 Main St Lakeville CT 06039-1204
Phone: (860) 435-3551
Fax: (860) 435-3561
Website:
Map and Directions
Authorized official contact:
Name: Kelly, Michael J Doctor of Medicine (MD)
Phone: (860) 435-3551

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 041727 Connecticut

Profile Details

NPI number 1376703751
LBN Legal business name Michael J. Kelly Md
DBA Doing business as
Authorized official Kelly, Michael J Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 10th, 2008
Last updated Jun 10th, 2008 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1376703751 NPPES
Connecticut MEDICAID 001417270
Connecticut Other 1124102546

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