Mr. Russell A Kelly, PA-C
Physician Assistant in North Andover, Massachusetts
1043316532- Practice location
- 451 Andover St Ste 206A, North Andover, MA 01845-5044
- Phone
- 978-662-1002
- Fax
- 978-767-4757
- Last updated
- August 25, 2025
Russell Aaron Kelly is a Physician Assistant based in North Andover, MA. Russell Aaron Kelly practices in North Andover, MA and has the professional credentials of PA-C. The NPI Number for Russell Aaron Kelly is 1043316532 and holds a License No. 1762 (MA). The current practice location address for Russell Aaron Kelly is 451 Andover St Ste 206A, North Andover, MA 01845-5044 and can be reached out via phone at 978-662-1002 and via fax at 978-767-4757.
Provider Profile Details
- NPI Number
- 1043316532
- Provider Name
- Russell Aaron Kelly
- Credential
- PA-C
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 451 Andover St Ste 206A, North Andover, MA 01845-5044
- Phone Number
- 978-662-1002
- Fax Number
- 978-767-4757
- Primary Taxonomy
- Physician Assistant · 363A00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- September 15, 2006
- Last Update Date
- August 25, 2025
- Certification Date
- August 25, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 451 Andover St Ste 206A
North Andover, MA 01845-5044 - City
- North Andover
- State
- Massachusetts
- Zip
- 01845-5044
- Phone Number
- 978-662-1002
- Fax Number
- 978-767-4757
Provider Business Mailing Address Details
- Address
- 10 Lakewood RD
Lynnfield, MA 01940-1945 - City
- Lynnfield
- State
- MA
- Zip
- 01940-1945
- Phone Number
- 817-249-6671
- Fax Number
- 978-767-4757
License Information
- License Number
- 1762
- License State
- MA
- Taxonomy
- 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 Mr. Russell A Kelly, PA-C?
The NPI number of Mr. Russell A Kelly, PA-C is 1043316532. It was assigned on September 15, 2006 and is currently active in the NPPES registry.
What is the specialty of Mr. Russell A Kelly, PA-C?
Mr. Russell A Kelly, PA-C is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in MA under license number 1762.
Where does Mr. Russell A Kelly, PA-C practice?
The practice location is 451 Andover St Ste 206A, North Andover, MA 01845-5044. The office can be reached at 978-662-1002 (phone) or 978-767-4757 (fax).
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 1043316532 directly on the NPPES registry website.