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Individual

EDWARD KELLY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2 MEDICAL CENTER DR STE 301, SPRINGFIELD, MA 01107-1298
(413) 794-8020
(413) 794-2165
Mailing address
280 CHESTNUT ST FL 2, SPRINGFIELD, MA 01199-1619
(413) 794-5700

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
210484
MA
2086S0102X
Surgical Critical Care Physician
Primary
210484
MA

Other

Enumeration date
04/25/2006
Last updated
04/20/2023
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