Kelley, Gina
Kelley, Gina is an sole proprietor health care provider with primary practice located at 850 N Main Street Ext # 2 , Wallingford CT 06492-2400. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Kelley, Gina can be contacted via phone (203) 886-0036.Contact Information
Primary practice address
850 N Main Street Ext # 2
Wallingford CT 06492-2400
Phone: (203) 886-0036
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 6510 | Connecticut |
Profile Details
| NPI number | 1043078041 |
|---|---|
| LBN Legal business name | Kelley, Gina |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 13th, 2024 |
| Last updated | Mar 13th, 2024 - about 9 months 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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