Kelly, Bryan Robert

Kelly, Bryan Robert is an individual health care provider with primary practice located at 3 Gray Birch Rd , East Sandwich MA 02537-1457. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Kelly, Bryan Robert can be contacted via phone (508) 833-9013.

Contact Information

Primary practice address
3 Gray Birch Rd East Sandwich MA 02537-1457
Phone: (508) 833-9013
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 3610 Massachusetts
Behavioral Health & Social Service Providers / Clinical 103TC0700X 710 New Hampshire

Profile Details

NPI number 1174596357
LBN Legal business name Kelly, Bryan Robert
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 9th, 2006
Last updated Jul 8th, 2007 - about 18 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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