Individual
DR. SEAN R. KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4747 MAIN ST, BRIDGEPORT, CT 06606-1804
(203) 372-0649
(203) 373-0376
Mailing address
4747 MAIN ST, BRIDGEPORT, CT 06606-1804
(203) 372-0649
(203) 373-0376
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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