Individual
DR. M ELYCE KEARNS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4 BROOK ST STE 25D, SCITUATE, MA 02066
(781) 561-6860
(855) 326-8994
Mailing address
61 WARREN AVE, MARSHFIELD, MA 02050-1600
(617) 216-6364
(855) 326-8994
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
75462
MA
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
75462
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
075462
TUFTS HEALTH PLAN
MA
05
—
3138488
—
MA
01
—
J16118
BCBS MA
MA
Enumeration date
02/15/2006
Last updated
05/21/2018
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