Kelly, John Peter

Kelly, John Peter is an sole proprietor health care provider with primary practice located at 267 Middle Country Rd , Smithtown NY 11787-2874. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Kelly, John Peter can be contacted via phone (631) 366-3166.

Contact Information

Primary practice address
267 Middle Country Rd Smithtown NY 11787-2874
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 9859 New York

Profile Details

NPI number 1174718597
LBN Legal business name Kelly, John Peter
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 10th, 2007
Last updated Sep 10th, 2007 - about 17 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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