Tally, Kevin J
Tally, Kevin J is an individual health care provider with primary practice located at 85 Seymour St Suite 719, Hartford CT 06106-5501. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Nuclear Cardiology. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Tally, Kevin J can be contacted via phone (860) 522-0604.Contact Information
Primary practice address
85 Seymour St Suite 719
Hartford CT 06106-5501
Phone: (860) 522-0604
Fax: (860) 522-1761
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 042086 | Connecticut |
| Allopathic & Osteopathic Physicians / Nuclear Cardiology | 207UN0901X | 042086 | Connecticut |
Profile Details
| NPI number | 1285624809 |
|---|---|
| LBN Legal business name | Tally, Kevin J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 25th, 2005 |
| Last updated | May 20th, 2015 - about 11 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 | 1285624809 | NPPES |
| Connecticut | MEDICAID | 001420869 | |
| Connecticut | Other | C00585 | |
| Connecticut | Other | 010042086CT01 | |
| Connecticut | Other | 060001631 | |
| Connecticut | Other | CA7937 | |
| Connecticut | Other | P00233421 |
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