Individual
DR. BARRY DANA KELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
19 WOODLAND ST, SUITE 41, HARTFORD, CT 06105-2372
(860) 249-2020
(860) 246-7549
Mailing address
19 WOODLAND ST, SUITE 41, HARTFORD, CT 06105-2372
(860) 249-2020
(860) 246-7549
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
021553
CT
207W00000X
Ophthalmology Physician
021553
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001215532
—
CT
01
—
010021553CT01
BC/BS PROVIDER ID
CT
01
—
079001
CONNECTICARE PROVIDER ID
CT
01
—
0S2291
HEALTH NET PROVIDER ID
CT
01
—
83840
AETNA PROVIDER ID
CT
01
—
HAS281
OXFORD PROVIDER ID
CT
Enumeration date
07/09/2006
Last updated
12/14/2011
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