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Contact Information

ROBERT B KELLY, DO
823 LACEY RD
FORKED RIVER, NJ08731-1203
 Phone: 609-242-2705
 Fax: 609-242-2702
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Interventional Pain Medicine

208VP0014X 09 Physician/Interventional Pain Management
 

Neuromusculoskeletal Medicine & OMM

204D00000X 12 Physician/Osteopathic Manipulative Medicine
Indicates primary specialty

NPI Profile & details for ROBERT B KELLY · (Male)

NPI Number 1922202738
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 06/14/2007
Last updated 02/02/2009 - About 17 years ago
Sole proprietor 1 Yes
Identifiers
  • NJ License # 25MB06389400
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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