Active NPIIndividual provider

Dr. Sean R Kelly, MD

Physical Medicine & Rehabilitation in Bridgeport, Connecticut

NPI Number1083685705
Practice location
4747 Main St, Bridgeport, CT 06606-1804
Fax
203-373-0376
Last updated
March 19, 2019

Sean R. Kelly is a Physical Medicine & Rehabilitation based in Bridgeport, CT. Sean R. Kelly practices in Bridgeport, CT and has the professional credentials of MD. The NPI Number for Sean R. Kelly is 1083685705 and holds a License No. 045878 (CT). The current practice location address for Sean R. Kelly is 4747 Main St, Bridgeport, CT 06606-1804 and can be reached out via phone at 203-372-0649 and via fax at 203-373-0376.

Provider Profile Details

NPI Number
1083685705
Provider Name
Sean R. Kelly
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
4747 Main St, Bridgeport, CT 06606-1804
Phone Number
203-372-0649
Fax Number
203-373-0376
Primary Taxonomy
Physical Medicine & Rehabilitation · 208100000X
Sole Proprietor
No
Provider Enumeration Date
January 31, 2006
Last Update Date
March 19, 2019
NPI Status
Active

Provider Business Practice Location Address Details

Address
4747 Main St
Bridgeport, CT 06606-1804
Zip
06606-1804
Phone Number
203-372-0649
Fax Number
203-373-0376
Bridgeport, CT 06606Get directions →

Provider Business Mailing Address Details

Address
4747 Main St
Bridgeport, CT 06606-1804
City
Bridgeport
State
CT
Zip
06606-1804
Phone Number
203-372-0649
Fax Number
203-373-0376

License Information

License Number (1)
045878
License State (1)
CT
License Number (2)
045878
License State (2)
CT
Taxonomy (2)
Physical Medicine & Rehabilitation · 208100000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Sean R Kelly, MD?

The NPI number of Dr. Sean R Kelly, MD is 1083685705. It was assigned on January 31, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Sean R Kelly, MD?

Dr. Sean R Kelly, MD is registered under the primary taxonomy Physical Medicine & Rehabilitation (code 208100000X), licensed in CT under license number 045878.

Where does Dr. Sean R Kelly, MD practice?

The practice location is 4747 Main St, Bridgeport, CT 06606-1804. The office can be reached at 203-372-0649 (phone) or 203-373-0376 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1083685705 directly on the NPPES registry website.

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