Kelly, Kathryn

Kelly, Kathryn is an individual health care provider with primary practice located at 291 S Lambert Rd Ste 2 , Orange CT 06477-3559. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Art Therapist, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Kelly, Kathryn can be contacted via phone (475) 414-6307.

Contact Information

Primary practice address
291 S Lambert Rd Ste 2 Orange CT 06477-3559
Phone: (475) 414-6307
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Art Therapist 221700000X 53 Connecticut
Behavioral Health & Social Service Providers / Professional 101YP2500X 006241 Connecticut

Profile Details

NPI number 1073282299
LBN Legal business name Kelly, Kathryn
Credentials LPC, CLAT
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 10th, 2021
Last updated Apr 17th, 2023 - about last year

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 1073282299 NPPES
Connecticut Other 52 CT DPH
Connecticut Other 006241 CT DPH

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