Kelly, Malik J

Kelly, Malik J is an individual health care provider with primary practice located at 435 Lewis Ave , Meriden CT 06451-2101. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Kelly, Malik J can be contacted via phone (203) 284-1340.

Contact Information

Primary practice address
435 Lewis Ave Meriden CT 06451-2101
Phone: (203) 284-1340
Fax: (203) 265-4557
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 045394 Connecticut
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 045394 Connecticut

Profile Details

NPI number 1679776900
LBN Legal business name Kelly, Malik J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 6th, 2007
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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Identifiers

StateTypeNumberIssuer
All States NPI 1679776900 NPPES
Connecticut Other 40190 CDS

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