Kelly, Michael

Kelly, Michael is an sole proprietor health care provider with primary practice located at 1 Robert Wood Johnson Pl Robert Wood Johnson University Hospital - New Brunswick, New Brunswick NJ 08901-1928. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine, which is considered as his primary health care specialty. Kelly, Michael can be contacted via phone (732) 235-7900.

Contact Information

Primary practice address
1 Robert Wood Johnson Pl Robert Wood Johnson University Hospital - New Brunswick New Brunswick NJ 08901-1928
Phone: (732) 235-7900
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine 2080P0203X MA73393 New Jersey

Profile Details

NPI number 1144389602
LBN Legal business name Kelly, Michael
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 8th, 2006
Last updated Jun 14th, 2010 - about 15 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 1144389602 NPPES
New Jersey MEDICAID 8751609

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