Kellner, Marian

Kellner, Marian is an individual health care provider with primary practice located at 345 N Main St Suite 201, West Hartford CT 06117-2515. She recently has only one registered license in Allopathic & Osteopathic Physicians / Gynecology, which is considered as her primary health care specialty. Kellner, Marian can be contacted via phone (860) 231-2476.

Contact Information

Primary practice address
345 N Main St Suite 201 West Hartford CT 06117-2515
Fax: (860) 231-2480
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gynecology 207VG0400X 025220 Connecticut

Profile Details

NPI number 1083720908
LBN Legal business name Kellner, Marian
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 22nd, 2006
Last updated Jan 31st, 2013 - about 12 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 1083720908 NPPES
Connecticut MEDICAID 001252204

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