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Contact Information

JOHN J KELLEY JR, BCO
1107 KENILWORTH DR
SUITE 310
TOWSON, MD21204-2140
 Phone: 410-828-5628
 Fax: 419-828-5629
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Ocularist

156FX1700X
 

Specialist/Technologist, Other

246Z00000X
Indicates primary specialty

NPI Profile & details for JOHN J KELLEY JR · (Male)

NPI Number 1942374731
Status Active
Credentials BCO
Entity Individual
Enumeration date 11/20/2006
Last updated 03/28/2008 - About 18 years ago
Sole proprietor 1 No
Identifiers
  • MD Other 52455501 BC BS REGION
  • MD Other Y391 FED BC BS
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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