Individual
DR. STEPHEN MICHAEL KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
130 DIVISION ST, DERBY, CT 06418-1326
(203) 735-7421
Mailing address
2631 DURHAM RD, GUILFORD, CT 06437-1049
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
23552
CA
207P00000X
Emergency Medicine Physician
25MB09297100
NJ
207P00000X
Emergency Medicine Physician
Primary
69876
CT
Other
Enumeration date
04/09/2009
Last updated
05/05/2026
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