Kelly, Shane Patrick
Kelly, Shane Patrick is an individual health care provider with primary practice located at 839 Farmington Ave , Bristol CT 06010-3922. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Kelly, Shane Patrick can be contacted via phone (860) 582-8167.Contact Information
Primary practice address
839 Farmington Ave
Bristol CT 06010-3922
Phone: (860) 582-8167
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacist | 183500000X | PCT.0013529 | Connecticut |
Profile Details
| NPI number | 1346695152 |
|---|---|
| LBN Legal business name | Kelly, Shane Patrick |
| Credentials | PHARM.D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 29th, 2016 |
| Last updated | Apr 29th, 2016 - about 8 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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