Kelly, Brian Robert
Kelly, Brian Robert is an individual health care provider with primary practice located at 7489 Sutherland Circle Bldg 7489, Fort Carson CO 80913. He recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Electrodiagnostic Medicine, Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, Allopathic & Osteopathic Physicians / Brain Injury Medicine, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation is his primary health care specialty. Kelly, Brian Robert can be contacted via phone (719) 526-4911.Contact Information
Primary practice address
7489 Sutherland Circle Bldg 7489
Fort Carson CO 80913
Phone: (719) 526-4911
Fax: (719) 526-8883
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Electrodiagnostic Medicine | 204R00000X | R7037 | Texas |
| Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation | 208100000X | 35.135837 | Ohio |
| Allopathic & Osteopathic Physicians / Brain Injury Medicine | 2081P0301X | R7037 | Texas |
| Allopathic & Osteopathic Physicians / Brain Injury Medicine | 2081P0301X | 35.135837 | Ohio |
| Allopathic & Osteopathic Physicians / Sports Medicine | 2081S0010X | R7037 | Texas |
| Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation | 208100000X | R7037 | Texas |
Profile Details
| NPI number | 1851786883 |
|---|---|
| LBN Legal business name | Kelly, Brian Robert |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 7th, 2015 |
| Last updated | Feb 21st, 2024 - about last year |
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 | 1851786883 | NPPES |
| Ohio | MEDICAID | 0341279. |
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