Kelly, Mary Ann

Kelly, Mary Ann is an individual health care provider with primary practice located at 28 Crescent St Middlesex Hospital 7Th Fl, Middletown CT 06457-3654. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Kelly, Mary Ann can be contacted via phone (860) 358-6760.

Contact Information

Primary practice address
28 Crescent St Middlesex Hospital 7Th Fl Middletown CT 06457-3654
Phone: (860) 358-6760
Fax: (860) 358-4829
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 003508 Connecticut

Profile Details

NPI number 1760658207
LBN Legal business name Kelly, Mary Ann
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date May 5th, 2008
Last updated May 5th, 2008 - about 16 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 1760658207 NPPES
Connecticut Other 003508 CT APRN LICENSE

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