Rogers, Kelly Forbes

Rogers, Kelly Forbes is an individual health care provider with primary practice located at 29 Chesterfield Rd , East Lyme CT 06333-0094. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Rogers, Kelly Forbes can be contacted via phone (860) 739-6974.

Contact Information

Primary practice address
29 Chesterfield Rd East Lyme CT 06333-0094
Phone: (860) 739-6974
Fax: (860) 739-5290
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 001911 Connecticut

Profile Details

NPI number 1780809640
LBN Legal business name Rogers, Kelly Forbes
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 16th, 2007
Last updated Jul 8th, 2007 - about 17 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 1780809640 NPPES
Other 060001911CT03 ANTHEM
MEDICAID 004138691 ANTHEM
Other P1033995 ANTHEM

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