Individual
DR. KELLEY ANN TAYLOR-BENTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
17 COCASSET ST, FOXBORO, MA 02035-2948
(508) 543-1866
(508) 543-1867
Mailing address
17 COCASSET ST, FOXBORO, MA 02035-2948
(508) 543-1866
(508) 543-1867
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2689
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1168339
CIGNA
MA
01
—
23194-3
BLUE CROSS RI
RI
01
—
33100489
HCVM
MA
01
—
351476
HARVARD PILGRIM
MA
01
—
409959
BLUE CHIP RI
RI
01
—
494480
TUFTS
MA
01
—
Y36869
BLUE CROSS MA (Y39626)
MA
Enumeration date
09/22/2006
Last updated
07/08/2007
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