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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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