Kelly, Brian N

Kelly, Brian N is an individual health care provider with primary practice located at 2170 South Ave , South Lake Tahoe CA 96150-7026. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Kelly, Brian N can be contacted via phone (530) 543-5896.

Contact Information

Primary practice address
2170 South Ave South Lake Tahoe CA 96150-7026
Phone: (530) 543-5896
Fax: (530) 544-6512
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 2264 Nevada
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 34365 California

Profile Details

NPI number 1619023553
LBN Legal business name Kelly, Brian N
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 25th, 2007
Last updated Mar 21st, 2018 - about 6 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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