Kels, Barry Dana

Kels, Barry Dana is an individual health care provider with primary practice located at 19 Woodland St Suite 41, Hartford CT 06105-2372. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Ophthalmology. Other Service Providers / Specialist is his primary health care specialty. Kels, Barry Dana can be contacted via phone (860) 249-2020.

Contact Information

Primary practice address
19 Woodland St Suite 41 Hartford CT 06105-2372
Phone: (860) 249-2020
Fax: (860) 246-7549
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 021553 Connecticut
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 021553 Connecticut

Profile Details

NPI number 1558394874
LBN Legal business name Kels, Barry Dana
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 9th, 2006
Last updated Dec 14th, 2011 - about 13 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 1558394874 NPPES
Connecticut Other 010021553CT01 BC/BS PROVIDER ID
Connecticut Other 83840 BC/BS PROVIDER ID
Connecticut Other 0S2291 BC/BS PROVIDER ID
Connecticut Other 079001 BC/BS PROVIDER ID
Connecticut Other HAS281 BC/BS PROVIDER ID
Connecticut MEDICAID 001215532 BC/BS PROVIDER ID

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