Kelly Gilman, Megan Mary

Kelly Gilman, Megan Mary is an individual health care provider with primary practice located at 1 Long Wharf Dr Ste 321 , New Haven CT 06511-5946. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Psychiatric/Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Kelly Gilman, Megan Mary can be contacted via phone (203) 781-4600.

Contact Information

Primary practice address
1 Long Wharf Dr Ste 321 New Haven CT 06511-5946
Phone: (203) 781-4600
Fax: (203) 781-4624
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Psychiatric/Mental Health 163WP0808X 10.101759 Connecticut
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 12.008907 Connecticut

Profile Details

NPI number 1669018123
LBN Legal business name Kelly Gilman, Megan Mary
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 20th, 2019
Last updated May 17th, 2023 - about 2 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 1669018123 NPPES
Connecticut MEDICAID 004041000
Connecticut MEDICAID 008003745
Connecticut Other 008101138
Connecticut Other 8907
Connecticut Other 10.101759
Connecticut MEDICAID 004217099

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