Kelly, Justin

Kelly, Justin is an individual health care provider with primary practice located at 661 E Altamonte Dr Ste 220 , Altamonte Springs FL 32701-5102. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Colon & Rectal Surgery, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Colon & Rectal Surgery is his primary health care specialty. Kelly, Justin can be contacted via phone (407) 303-5191.

Contact Information

Primary practice address
661 E Altamonte Dr Ste 220 Altamonte Springs FL 32701-5102
Phone: (407) 303-5191
Fax: (407) 303-5193
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Colon & Rectal Surgery 208C00000X ME134463 Florida
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X TRN22550 Florida

Profile Details

NPI number 1477906915
LBN Legal business name Kelly, Justin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 20th, 2016
Last updated Dec 6th, 2017 - about 7 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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