Kelly, Sean R
Kelly, Sean R is an individual health care provider with primary practice located at 151 N Franklin St , Washington PA 15301-4378. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Kelly, Sean R can be contacted via phone (724) 222-7240.Contact Information
Primary practice address
151 N Franklin St
Washington PA 15301-4378
Phone: (724) 222-7240
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | OS012378 | Pennsylvania |
Profile Details
| NPI number | 1174592760 |
|---|---|
| LBN Legal business name | Kelly, Sean R |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 16th, 2006 |
| Last updated | Jul 6th, 2023 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1174592760 | NPPES |
| Pennsylvania | MEDICAID | 1012265060001 | |
| Pennsylvania | Other | 1688548 |
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