Kelly, James P.

Kelly, James P. is an individual health care provider with primary practice located at 2080 Silas Deane Hwy , Rocky Hill CT 06067-2334. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is his primary health care specialty. Kelly, James P. can be contacted via phone (860) 529-5507.

Contact Information

Primary practice address
2080 Silas Deane Hwy Rocky Hill CT 06067-2334
Phone: (860) 529-5507
Fax: (860) 529-5644
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 3272 Connecticut
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 003272 Connecticut

Profile Details

NPI number 1356365522
LBN Legal business name Kelly, James P.
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 27th, 2006
Last updated Jun 22nd, 2021 - about 3 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 1356365522 NPPES
Connecticut Other 400003272CT01 ANTHEM BLUE SHIELD
Connecticut Other 2V6776 ANTHEM BLUE SHIELD
Connecticut MEDICAID 004257392 ANTHEM BLUE SHIELD

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