Kelly, Brian
Kelly, Brian is an individual health care provider with primary practice located at 180 Jfk Dr Ste 320 , Atlantis FL 33462-6641. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as his primary health care specialty. Kelly, Brian can be contacted via phone (561) 548-4900.Contact Information
Primary practice address
180 Jfk Dr Ste 320
Atlantis FL 33462-6641
Phone: (561) 548-4900
Fax: (561) 434-5165
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | ME148365 | Florida |
Profile Details
| NPI number | 1598053803 |
|---|---|
| LBN Legal business name | Kelly, Brian |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 20th, 2011 |
| Last updated | Feb 10th, 2022 - about 2 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 | 1598053803 | NPPES |
| Florida | MEDICAID | 109734600 |
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