Kelly, Kerry

Kelly, Kerry is an individual health care provider with primary practice located at 545 Clawson St , Staten Island NY 10306-4251. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Kelly, Kerry can be contacted via phone (718) 667-1477.

Contact Information

Primary practice address
545 Clawson St Staten Island NY 10306-4251
Phone: (718) 667-1477
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 137284 New York

Profile Details

NPI number 1598750770
LBN Legal business name Kelly, Kerry
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 14th, 2005
Last updated Jul 8th, 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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