Kelly, Sean R.

Kelly, Sean R. is an individual health care provider with primary practice located at 4747 Main St , Bridgeport CT 06606-1804. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Sports Medicine, Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation. Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation is his primary health care specialty. Kelly, Sean R. can be contacted via phone (203) 372-0649.

Contact Information

Primary practice address
4747 Main St Bridgeport CT 06606-1804
Phone: (203) 372-0649
Fax: (203) 373-0376
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 2081S0010X 045878 Connecticut
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 045878 Connecticut

Profile Details

NPI number 1083685705
LBN Legal business name Kelly, Sean R.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 31st, 2006
Last updated Mar 19th, 2019 - about 5 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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