Michael J Kelley, PA-C
Physician Assistant in Bourne, Massachusetts
1013285386- Practice location
- 1 Trowbridge RD, Suite 100, Bourne, MA 02532-3660
- Phone
- 508-778-4777
- Fax
- —
- Last updated
- June 18, 2019
Michael John Kelley is a Physician Assistant based in Bourne, MA. Michael John Kelley practices in Bourne, MA and has the professional credentials of PA-C. The NPI Number for Michael John Kelley is 1013285386 and holds a License No. C5-0000737 (DE). The current practice location address for Michael John Kelley is 1 Trowbridge RD, Suite 100, Bourne, MA 02532-3660 and can be reached out via phone at 508-778-4777.
Provider Profile Details
- NPI Number
- 1013285386
- Provider Name
- Michael John Kelley
- Credential
- PA-C
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 1 Trowbridge RD, Suite 100, Bourne, MA 02532-3660
- Phone Number
- 508-778-4777
- Primary Taxonomy
- Physician Assistant · 363A00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- December 1, 2011
- Last Update Date
- June 18, 2019
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1 Trowbridge RD
Suite 100
Bourne, MA 02532-3660 - City
- Bourne
- State
- Massachusetts
- Zip
- 02532-3660
- Phone Number
- 508-778-4777
Provider Business Mailing Address Details
- Address
- 297 North St Ste 221
Hyannis, MA 02601-5133 - City
- Hyannis
- State
- MA
- Zip
- 02601-5133
- Phone Number
- 508-862-7777
License Information
- License Number (1)
- C5-0000737
- License State (1)
- DE
- Taxonomy (1)
- Physician Assistant · 363A00000X
- License Number (2)
- PA4403
- License State (2)
- MA
- Taxonomy (2)
- Physician Assistant · 363A00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Michael J Kelley, PA-C?
The NPI number of Michael J Kelley, PA-C is 1013285386. It was assigned on December 1, 2011 and is currently active in the NPPES registry.
What is the specialty of Michael J Kelley, PA-C?
Michael J Kelley, PA-C is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in DE under license number C5-0000737.
Where does Michael J Kelley, PA-C practice?
The practice location is 1 Trowbridge RD, Suite 100, Bourne, MA 02532-3660. The office can be reached at 508-778-4777 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1013285386 directly on the NPPES registry website.