Michael R Kelly is a Pediatrics in Fairhaven, Massachusetts. Michael R Kelly practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Michael R Kelly is 1679780761. The last update date is 2020-04-22.
Michael R Kelly's current location address is 200 Mill Rd, Fairhaven, Massachusetts. You can contact this provider via phone number 5089732000 and fax number 5089732001. The mailing address for Michael R Kelly is 200 Mill Rd, Fairhaven, Massachusetts. To know further, please read the information below!
Provider Profile Detail
Provider Name | Michael R Kelly |
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Address | 200 Mill Rd, Fairhaven, Massachusetts |
Phone Number | 5089732000 |
Fax Number | 5089732001 |
Sole Proprietor | N |
Credentials | MD |
NPI Number Detail
NPI Number | 1679780761 |
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Provider Enumeration Date | 2007-05-17 |
Last Updated Date | 2020-04-22 |
Provider Mailing Address Detail
Address | 200 Mill Rd |
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City | Fairhaven |
State | Massachusetts (MA) |
Post Code | 27195252 |
Phone Number | 5089732000 |
Fax Number | 5089732001 |
Provider's Primary Taxonomy Detail
Speciality | Pediatrics |
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Taxonomy | 208000000X |
Licence No | 243308 |
Definition: A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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110086557A | MA | -- |
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What is the unique 10-digit identifier code assigned to Michael R Kelly by the Centers for Medicare & Medicaid Services?
The Michael R Kelly has been issued the NPI (National Provider Identifier) 1679780761 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Where is the Michael R Kelly located?
The Michael R Kelly is located at 200 Mill Rd, Fairhaven, MA 27195252.
What is Michael R Kelly's specialized field of practice, and what is the corresponding taxonomy classification code?
The Michael R Kelly's area of specialization is Pediatrics, and the corresponding taxonomy code that categorizes this field of practice is 208000000X.
On what date did the Michael R Kelly receive its 1679780761 assignment from the Centers for Medicare & Medicaid Services?
The Michael R Kelly was assigned its 1679780761 by the Centers for Medicare & Medicaid Services on 2007-05-17.
As of what date were the details related to Michael R Kelly most recently updated or revised?
The information pertaining to Michael R Kelly, including its address, specialty, and other relevant details, was last updated or revised on 2020-04-22.