Individual
MR. JOSEPH M KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
8277
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0365572
—
MA
01
—
37250
HARVARD PILGRIM INS
MA
01
—
3776947
AETNA
MA
01
—
44996
FALLON HEALTH INS.
MA
01
—
455246
TUFTS HEALTH PLAN
MA
01
—
64-00321
UNITED HEALTHCARE
MA
01
—
918633
FIRST HEALTH
MA
01
—
Y66770
BLUE CROSS BLUE SHIELD
MA
Enumeration date
10/04/2006
Last updated
07/08/2007
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