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Individual

JAMES P. KELLY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
APRN

Contact information

Practice address
2080 SILAS DEANE HWY, ROCKY HILL, CT 06067-2334
(860) 529-5507
(860) 529-5644
Mailing address
2080 SILAS DEANE HWY, ROCKY HILL, CT 06067-2334
(860) 529-5507
(860) 529-5644

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
3272
CT
363LF0000X
Family Nurse Practitioner
Primary
003272
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
004257392
CT
01
400003272CT01
ANTHEM BLUE SHIELD
CT
Enumeration date
07/27/2006
Last updated
03/05/2025
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