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:
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Health care specialties

SpecialtyCodeLicense #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 3 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 1598053803 NPPES
Florida MEDICAID 109734600

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