Kelly, Peter J

Kelly, Peter J is an individual health care provider with primary practice located at 1504 N Main St , Palmer MA 01069-1215. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Kelly, Peter J can be contacted via phone (413) 283-3511.

Contact Information

Primary practice address
1504 N Main St Palmer MA 01069-1215
Phone: (413) 283-3511
Fax: (413) 283-5396
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 41270 Massachusetts

Profile Details

NPI number 1649271883
LBN Legal business name Kelly, Peter J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 10th, 2005
Last updated Jun 17th, 2019 - about 7 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 1649271883 NPPES
Other 042744585 COSTCARE PPO
Other 042744585 COSTCARE PPO
Other 042744585 COSTCARE PPO
Other 350270 COSTCARE PPO
Other S030683 COSTCARE PPO
Other 042744585 COSTCARE PPO
Other 0598171-003 COSTCARE PPO
Other 0000000020721 COSTCARE PPO
Other 0025915 COSTCARE PPO
Other 042744585 COSTCARE PPO
Other 1582315 COSTCARE PPO
Other H15034 COSTCARE PPO
Other 150714 COSTCARE PPO
Other 744585 COSTCARE PPO
Other MA1270 COSTCARE PPO
Other 042744585 COSTCARE PPO
MEDICAID 9739319 COSTCARE PPO
Other PAL: 39699 COSTCARE PPO

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