Kelly, Brian P

Kelly, Brian P is an individual health care provider with primary practice located at 415 Crosslake Dr Ste B , Evansville IN 47715. 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 P can be contacted via phone (812) 476-0409.

Contact Information

Primary practice address
415 Crosslake Dr Ste B Evansville IN 47715
Phone: (812) 476-0409
Fax: (812) 476-1016
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 05005037A Indiana

Profile Details

NPI number 1811971666
LBN Legal business name Kelly, Brian P
Credentials DPT, SCS, ATC
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 5th, 2005
Last updated Jan 30th, 2019 - about 5 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 1811971666 NPPES
Indiana MEDICAID 200839360
Indiana Other 000000197256

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