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Individual
DR. SEAN R. KELLY
Active
Individual
DR. SEAN R. KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
045878
CT
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
045878
CT
Other
Enumeration date
01/31/2006
Last updated
03/19/2019
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