Active NPIIndividual providerSole proprietor

Michael Kelly, CRNA

Nurse Anesthetist, Certified Registered in Boston, Massachusetts

NPI Number1023400462
Practice location
300 Longwood Ave, Boston, MA 02115-5724
Fax
—
Last updated
February 23, 2015

Michael Kelly is a Nurse Anesthetist, Certified Registered based in Boston, MA. Michael Kelly practices in Boston, MA and has the professional credentials of CRNA. The NPI Number for Michael Kelly is 1023400462 and holds a License No. rn274303 (MA). The current practice location address for Michael Kelly is 300 Longwood Ave, Boston, MA 02115-5724 and can be reached out via phone at 617-355-6000.

Provider Profile Details

NPI Number
1023400462
Provider Name
Michael Kelly
Credential
CRNA
Provider Entity Type
Individual
Gender
Male
Address
300 Longwood Ave, Boston, MA 02115-5724
Phone Number
617-355-6000
Primary Taxonomy
Nurse Anesthetist, Certified Registered · 367500000X
Sole Proprietor
Yes
Provider Enumeration Date
February 23, 2015
Last Update Date
February 23, 2015
NPI Status
Active

Provider Business Practice Location Address Details

Address
300 Longwood Ave
Boston, MA 02115-5724
City
Boston
Zip
02115-5724
Phone Number
617-355-6000
Boston, MA 02115Get directions →

Provider Business Mailing Address Details

Address
202 Ashland St
Holliston, MA 01746-1227
City
Holliston
State
MA
Zip
01746-1227

License Information

License Number (1)
rn274303
License State (1)
MA
Taxonomy (1)
Registered Nurse · 163W00000X
License Number (2)
rn274303
License State (2)
MA
Taxonomy (2)
Nurse Anesthetist, Certified Registered · 367500000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
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 Kelly, CRNA?

The NPI number of Michael Kelly, CRNA is 1023400462. It was assigned on February 23, 2015 and is currently active in the NPPES registry.

What is the specialty of Michael Kelly, CRNA?

Michael Kelly, CRNA is registered under the primary taxonomy Nurse Anesthetist, Certified Registered (code 367500000X), licensed in MA under license number rn274303.

Where does Michael Kelly, CRNA practice?

The practice location is 300 Longwood Ave, Boston, MA 02115-5724. The office can be reached at 617-355-6000 (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 1023400462 directly on the NPPES registry website.

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