Smith, Kelly O
Smith, Kelly O is an individual health care provider with primary practice located at 47 Jolley Dr , Bloomfield CT 06002-3092. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Smith, Kelly O can be contacted via phone (860) 243-3020.Contact Information
Primary practice address
47 Jolley Dr
Bloomfield CT 06002-3092
Phone: (860) 243-3020
Fax: (860) 243-3002
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 002588 | Connecticut |
Profile Details
| NPI number | 1851689467 |
|---|---|
| LBN Legal business name | Smith, Kelly O |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 16th, 2011 |
| Last updated | Feb 14th, 2017 - about 8 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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