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Dr. Sean R. Kelly

Physical Medicine & Rehabilitation Doctor Sports Medicine

4747 Main St
Bridgeport , Connecticut 06606-1804

Write a Review Save Call QR Code

(203) 373-0376

Image

Dr. Sean R. Kelly

Physical Medicine & Rehabilitation Doctor Sports Medicine

4747 Main St
Bridgeport , Connecticut 06606-1804

(203) 373-0376

Write a Review Save Call

Dr. Sean R. Kelly

Physical Medicine & Rehabilitation Doctor Sports Medicine

4747 Main St
Bridgeport , Connecticut 06606-1804

(203) 373-0376 Call

Write a Review Save
About
Location
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Dr. Sean R. Kelly
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About

Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Physical Medicine & Rehabilitation Doctor
  • Sports Medicine

Languages spoken

  • English

Location

4747 Main St Bridgeport , Connecticut 06606-1804
Get Directions

First Address

  • Dr. Sean R. Kelly
  • 4747 Main St
  • Bridgeport, CT
  • Zip : 06606-1804
  • Fax : (203) 373-0376
  • Phone : (203) 372-0649

Second Address

  • Dr. Sean R. Kelly
  • 4747 Main St
  • Bridgeport, CT
  • Zip : 06606-1804
  • Fax : (203) 373-0376
  • Phone : (203) 372-0649

Reviews

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FAQs

Where did Dr. Sean R. Kelly attend graduate school?

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Where did Dr. Sean R. Kelly do his residency?

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Where did Dr. Sean R. Kelly do his fellowship?

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Is Dr. Sean R. Kelly board certified?

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What type of doctor is Dr. Sean R. Kelly

Physical Medicine & Rehabilitation Doctor

In what state does Dr. Sean R. Kelly practice in?

Connecticut

Where is Dr. Sean R. Kelly ’s practice located?

4747 Main St , Bridgeport, Connecticut, 06606-1804

What is Dr. Sean R. Kelly ’s gender?

Male

Is Dr. Sean R. Kelly a sole practitioner?

No

Is Dr. Sean R. Kelly accepting new patients?

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What languages does Dr. Sean R. Kelly speak?

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Does Dr. Sean R. Kelly accept insurance?

Yes, Dr. Sean R. Kelly accepts insurance

Does Dr. Sean R. Kelly offers telemedicine?

Dr. Sean R. Kelly has not indicated if he offers telemedicine

What is Dr. Sean R. Kelly ’s professional license number?

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What is Dr. Sean R. Kelly ’s NPI number?

1083685705

Does Dr. Sean R. Kelly have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
Y 208100000X Physical Medicine & Rehabilitation Doctor 045878 CT
N 2081S0010X Sports Medicine 045878 CT
N 213ES0000X Sports Medicine 045878 CT

National Provider Identifier

NPI 1083685705
Provider Name Dr. Sean R. Kelly
First Address Bridgeport, CT 06606-1804
Second Address Bridgeport, CT 06606-1804
Gender M
NPI Entity type Individual
Is Sole Proprietor No
Is Organization Subpart N/A
Enumeration Date 31/01/2006
Last Update Date 19/03/2019

Additional Identifiers

IDENTIFIER TYPE / CODE IDENTIFIER STATE
VAD000 (02)

NPI Footnotes

What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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