MD Michael R Kelly, NPI 1679780761
Pediatrics Physician in Fairhaven, MA, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1679780761
NPI Entity Type Individual
Provider Name MD Michael R Kelly
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Certification Date September 30, 2009
Provider Location Address 208 Mill Rd, Fairhaven, MA, US
Provider Mailing Address 200 Mill Rd, Ste 180, Fairhaven, MA, US, 027195252
Gender Male
Is Sole Proprietor? No
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Primary Taxonomy

Taxonomy Code

208000000X

Taxonomy Name Pediatrics Physician
Classification

Pediatrics

Group

Allopathic & Osteopathic Physicians

License No. 243308
License State MA
Description A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Business Address

MD Michael R Kelly
208 Mill Rd

Fairhaven, MA, US

Phone: 508-758-3781
Fax: 508-758-4455

Mailing Address

MD Michael R Kelly
200 Mill Rd
Ste 180
Fairhaven, MA, US
ZIP 027195252
Phone: 508-973-2000
Fax: 508-973-2001

Secondary Taxonomies

Taxonomy Code Group Classification License No. State Primary?

207R00000X

Allopathic & Osteopathic Physicians

Internal Medicine

243308 MA No

Health Information Exchange

Endpoint Type Endpoint Description Use Content Type Affiliation Location
DIRECT [email protected] Southcoast Health Epic Direct Address No 208 Mill Rd, Fairhaven, MA, US

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