Organization
JOSEPH M KELLY MSPT, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSEPH M KELLY MSPT (OWNER/PRESIDENT)
(781) 740-2289
Entity
Organization
Contact information
Practice address
2 KEITH WAY, HINGHAM, MA 02043-4204
(781) 740-2289
Mailing address
88 LAKE SHORE DR, DUXBURY, MA 02332-4147
(781) 740-2289
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
—
Y61297
BLUE CROSS BLUE SHIELD
MA
Enumeration date
09/26/2006
Last updated
08/22/2020
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