Individual
PETER J KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1504 N MAIN ST, PALMER, MA 01069-1215
(413) 283-3511
(413) 283-5396
Mailing address
1504 N MAIN ST, PALMER, MA 01069-1215
(413) 283-3511
(413) 283-5396
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
41270
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000000020721
HEALTHNET
—
01
—
0025915
AETNA
—
01
—
042744585
COSTCARE PPO
—
01
—
0598171-003
CIGNA
—
01
—
150714
HARVARD PILGRIM
—
01
—
1582315
FIRST HEALTH
—
01
—
350270
CMHC
—
01
—
744585
CONNECTICARE
—
05
—
9739319
—
MA
01
—
H15034
BCBS
—
01
—
MA1270
EYEMED
—
01
—
PAL: 39699
DAVIS VISION
—
01
—
S030683
CHAMPUS
—
Enumeration date
08/10/2005
Last updated
06/17/2019
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