Individual
MICHAEL KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
166 KINSLEY ST STE 201, NASHUA, NH 03060
(603) 880-9177
(603) 880-9672
Mailing address
C/O ST MARYS HEALTH SYSTEM, PO BOX 7291, LEWISTON, ME 04243-7291
(207) 777-8695
(207) 777-8800
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
0371
NH
213ES0103X
Foot & Ankle Surgery Podiatrist
LL 1332
MA
Other
Enumeration date
06/26/2015
Last updated
10/03/2019
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