Individual
DR. PAUL F KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
56 FRANKLIN ST., 3RD FLOOR, WATERBURY, CT 06706-1253
(203) 709-6000
Mailing address
56 FRANKLIN ST., 3RD FLOOR, WATERBURY, CT 06706-1253
(203) 709-6000
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
035359
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001353599
—
CT
01
—
010035359CT01
ANTHEM BC & BS
CO
01
—
01035359
CIGNA HEALTH PLANS
CT
01
—
035359
CONNECTICARE
CT
01
—
0R03179
HEALTH NET OF NORTHEAST
CT
01
—
10-86502
UHC
CT
01
—
206706
WELLCARE
CT
01
—
4369921
AETNA HEALTH PLANS
CT
01
—
604583
UNITED HEALTHCARE
CT
01
—
873719
USA
CT
01
—
P00025411
RR MEDICARE
CT
01
—
P407727
OXFORD HEALTH PLANS
CT
Enumeration date
06/28/2006
Last updated
11/10/2021
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