O'Connor, Kelly N

O'Connor, Kelly N is an individual health care provider with primary practice located at 984 W Broadway Ste 4, Jackson WY 83001. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Dermatology. Allopathic & Osteopathic Physicians / Dermatology is her primary health care specialty. O'Connor, Kelly N can be contacted via phone (307) 734-1800.

Contact Information

Primary practice address
984 W Broadway Ste 4 Jackson WY 83001
Phone: (307) 734-1800
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Dermatology 207N00000X PT949 Wyoming

Profile Details

NPI number 1841849312
LBN Legal business name O'Connor, Kelly N
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 8th, 2019
Last updated Sep 9th, 2021 - about 4 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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