Siberry, George Kelly

Siberry, George Kelly is an individual health care provider with primary practice located at 789 Howard Ave , New Haven CT 06519-1304. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Infectious Diseases. Allopathic & Osteopathic Physicians / Pediatrics is his primary health care specialty. Siberry, George Kelly can be contacted via phone (203) 688-5555.

Contact Information

Primary practice address
789 Howard Ave New Haven CT 06519-1304
Phone: (203) 688-5555
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 61686 Connecticut
Allopathic & Osteopathic Physicians / Pediatric Infectious Diseases 2080P0208X 313096 New York
Allopathic & Osteopathic Physicians / Pediatric Infectious Diseases 2080P0208X 61686 Connecticut
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 313096 New York

Profile Details

NPI number 1598793101
LBN Legal business name Siberry, George Kelly
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 30th, 2006
Last updated Nov 15th, 2022 - about 2 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 1598793101 NPPES
Connecticut MEDICAID 1598793101

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