Tally, Kevin J

Tally, Kevin J is an individual health care provider with primary practice located at 85 Seymour St Suite 719, Hartford CT 06106-5501. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Nuclear Cardiology. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Tally, Kevin J can be contacted via phone (860) 522-0604.

Contact Information

Primary practice address
85 Seymour St Suite 719 Hartford CT 06106-5501
Phone: (860) 522-0604
Fax: (860) 522-1761
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 042086 Connecticut
Allopathic & Osteopathic Physicians / Nuclear Cardiology 207UN0901X 042086 Connecticut

Profile Details

NPI number 1285624809
LBN Legal business name Tally, Kevin J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 25th, 2005
Last updated May 20th, 2015 - about 9 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 1285624809 NPPES
Connecticut MEDICAID 001420869
Connecticut Other C00585
Connecticut Other 010042086CT01
Connecticut Other 060001631
Connecticut Other CA7937
Connecticut Other P00233421

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