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Individual
LISA M TAYLOR KELLY
Active
Individual
LISA M TAYLOR KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
158182
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
042472266
HEALTHCARE VALUE MANAGEME
—
01
—
2039829
FIRST HEALTH
—
01
—
3190099
MEDICAID WELFARE
—
05
—
3190099
—
MA
01
—
33744
FALLON COMMUNITY HEALTH P
—
01
—
34378
HEALTHY START
—
01
—
3523062
CIGNA HEALTH PLAN
—
01
—
7166020
AETNA US HEALTHCARE
—
01
—
784202
MVP HEALTH CARE
—
01
—
A28596
MEDICARE B
—
01
—
AA1182
HARVARD PILGRIM HEALTH CA
—
01
—
J19335
BLUE SHIELD INDEMNITY
—
Enumeration date
03/28/2006
Last updated
07/13/2026
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