Kelly, John Thomas

Kelly, John Thomas is an sole proprietor health care provider with primary practice located at 108 Foster Blvd , Babylon NY 11702-1517. He recently has only one registered license in Nursing Service Providers / Registered Nurse, which is considered as his primary health care specialty. Kelly, John Thomas can be contacted via phone (631) 587-8241.

Contact Information

Primary practice address
108 Foster Blvd Babylon NY 11702-1517
Phone: (631) 587-8241
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 478188-1 New York

Profile Details

NPI number 1760682728
LBN Legal business name Kelly, John Thomas
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 18th, 2007
Last updated Jul 18th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1760682728 NPPES
New York MEDICAID 01688908

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