Marybeth S Kelly in Westfield - Physician Assistant
Marybeth S Kelly - NPI 1235139130
Marybeth S Kelly is a Physician Assistant in Westfield, Massachusetts. Marybeth S Kelly practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Marybeth S Kelly is 1235139130. The last update date is 2008-01-03.
Marybeth S Kelly's current location address is 75 Springfield Rd, Westfield, Massachusetts. You can contact this provider via phone number 4135625173 and fax number 4135621716. The mailing address for Marybeth S Kelly is 75 Springfield Rd, Westfield, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Marybeth S Kelly |
|---|---|
| Address | 75 Springfield Rd, Westfield, Massachusetts |
| Phone Number | 4135625173 |
| Fax Number | 4135621716 |
| Sole Proprietor | N |
| Credentials | PAC |
NPI Number Detail
| NPI Number | 1235139130 |
|---|---|
| Provider Enumeration Date | 2005-07-21 |
| Last Updated Date | 2008-01-03 |
Provider Mailing Address Detail
| Address | 75 Springfield Rd |
|---|---|
| City | Westfield |
| State | Massachusetts (MA) |
| Post Code | 1085 |
| Phone Number | 4135625173 |
| Fax Number | 4135621716 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 1150 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 11500 | CONNECTICARE OF MA | ||
| 21237210422 | BEECH STREET |
Post Comment/ Review Below
What is the unique identifier code issued to Marybeth S Kelly by the Centers for Medicare & Medicaid Services?
The Marybeth S Kelly has been assigned the NPI (National Provider Identifier) 1235139130. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
What is Marybeth S Kelly's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Marybeth S Kelly is Physician Assistant, and the corresponding taxonomy classification code for this specialized field is 363A00000X.
On what date was the 1235139130 assigned to Marybeth S Kelly?
The Marybeth S Kelly was issued its 1235139130 on 2005-07-21, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
On what date did the Marybeth S Kelly receive the assignment of its 1235139130 from the Centers for Medicare & Medicaid Services?
The Marybeth S Kelly was issued its 1235139130 by the Centers for Medicare & Medicaid Services on 2005-07-21.
When was the information regarding Marybeth S Kelly most recently updated?
The details pertaining to the Marybeth S Kelly, including its address, specialty, and other relevant information, were last refreshed on 2008-01-03.
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