Kelly, David

Kelly, David is an individual health care provider with primary practice located at 275 Sandwich St , Plymouth MA 02360-2183. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Kelly, David can be contacted via phone (508) 830-2121.

Contact Information

Primary practice address
275 Sandwich St Plymouth MA 02360-2183
Phone: (508) 830-2121
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 224721 Massachusetts

Profile Details

NPI number 1184618910
LBN Legal business name Kelly, David
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 8th, 2005
Last updated Sep 22nd, 2010 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1184618910 NPPES
Massachusetts MEDICAID 2104253

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