Mead, Kelly L

Mead, Kelly L is an individual health care provider with primary practice located at 113 Elm St Ste 304 , Enfield CT 06082. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Medical is her primary health care specialty. Mead, Kelly L can be contacted via phone (860) 741-2225.

Contact Information

Primary practice address
113 Elm St Ste 304 Enfield CT 06082
Phone: (860) 741-2225
Fax: (860) 741-2229
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 00332 Connecticut
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 00332 Connecticut

Profile Details

NPI number 1275607855
LBN Legal business name Mead, Kelly L
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 17th, 2006
Last updated Aug 10th, 2021 - about 3 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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