Ocallahan, Kelly J

Ocallahan, Kelly J is an individual health care provider with primary practice located at 100 Central St Floor 4, Worcester MA 01608-1209. She recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as her primary health care specialty. Ocallahan, Kelly J can be contacted via phone (508) 831-0708.

Contact Information

Primary practice address
100 Central St Floor 4 Worcester MA 01608-1209
Phone: (508) 831-0708
Fax: (508) 831-0272
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 159560 Massachusetts

Profile Details

NPI number 1427056795
LBN Legal business name Ocallahan, Kelly J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 12th, 2005
Last updated Jul 8th, 2007 - about 18 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 1427056795 NPPES
Massachusetts MEDICAID 3201601

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