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:
Health care specialties
Specialty | Code | License # | 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 18 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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