Individual
DR. JOHN E KELLY
Active
Individual
DR. JOHN E KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
43538
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110000875A
—
MA
01
—
190882
CIGNA
MA
01
—
4406
FALLON HEALTH INS #
MA
01
—
64109
HARVARD PILGRIM ID #
MA
01
—
710456
TUFTS
MA
01
—
99995302
NETWORK HEALTH ID #
MA
01
—
N01871
BLUE SHIELD ID #
MA
Enumeration date
02/28/2006
Last updated
04/13/2011
Update your record
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