Kelley, Colleen

Kelley, Colleen is an individual health care provider with primary practice located at 31 Vauxhall St , New London CT 06320-5723. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as her primary health care specialty. Kelley, Colleen can be contacted via phone (860) 442-4363.

Contact Information

Primary practice address
31 Vauxhall St New London CT 06320-5723
Fax:
Website:

Health care specialties

Profile Details

NPI number 1932737301
LBN Legal business name Kelley, Colleen
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 31st, 2020
Last updated Mar 31st, 2020 - about 5 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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Identifiers

StateTypeNumberIssuer
All States NPI 1932737301 NPPES
Connecticut Other 719 PTA LICENSE NUMBER

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