Siberry, George Kelly
Siberry, George Kelly is an individual health care provider with primary practice located at 789 Howard Ave , New Haven CT 06519-1304. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Infectious Diseases. Allopathic & Osteopathic Physicians / Pediatrics is his primary health care specialty. Siberry, George Kelly can be contacted via phone (203) 688-5555.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 61686 | Connecticut |
| Allopathic & Osteopathic Physicians / Pediatric Infectious Diseases | 2080P0208X | 313096 | New York |
| Allopathic & Osteopathic Physicians / Pediatric Infectious Diseases | 2080P0208X | 61686 | Connecticut |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 313096 | New York |
Profile Details
| NPI number | 1598793101 |
|---|---|
| LBN Legal business name | Siberry, George Kelly |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 30th, 2006 |
| Last updated | Nov 15th, 2022 - about 4 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 | 1598793101 | NPPES |
| Connecticut | MEDICAID | 1598793101 |
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