Individual
BRIAN JOSEPH KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O
Contact information
Practice address
75 FRANCIS ST, BOSTON, MA 02115-6110
(617) 732-5500
Mailing address
7109 RAVENS RUN, CINCINNATI, OH 45244-3594
(513) 384-4235
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
265830
MA
207L00000X
Anesthesiology Physician
Primary
34012659
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/02/2012
Last updated
06/26/2017
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