# DR. SEAN R. KELLY

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1083685705
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | 045878 | CT | Yes |
| 2081S0010X | Sports Medicine (Physical Medicine & Rehabilitation) Physician | 045878 | CT | — |

## Other

- **Enumeration date:** 01/31/2006
- **Last updated:** 03/19/2019