Sturrock, Kelley Lyn

Sturrock, Kelley Lyn is an individual health care provider with primary practice located at 100 Retreat Ave Ste 201, Hartford CT 06106-2528. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Sturrock, Kelley Lyn can be contacted via phone (860) 246-8568.

Contact Information

Primary practice address
100 Retreat Ave Ste 201 Hartford CT 06106-2528
Fax: (860) 728-5076
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 0101236730 Virginia

Profile Details

NPI number 1114993987
LBN Legal business name Sturrock, Kelley Lyn
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 23rd, 2006
Last updated Mar 31st, 2011 - about 13 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 1114993987 NPPES
Virginia MEDICAID 010100615

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