person
Samuel K Kelley, MD
Child & Adolescent Psychiatry Physician in Medford, Massachusetts
NPI 1154368199

Samuel K Kelley is a Child & Adolescent Psychiatry Physician based in Medford, MA and is specialized in Child & Adolescent Psychiatry. Samuel K Kelley practices in Medford, MA and has the professional credentials of MD. The NPI Number for Samuel K Kelley is 1154368199 and holds a License No. 72427 (Massachusetts).

The current practice location address for Samuel K Kelley is 151 Mystic Ave Ste 6, Medford, MA and can be reached out via phone at 617-877-8292.

Location: 151 Mystic Ave Ste 6, Medford, MA, 02155-4632
person
Provider Profile Details
NPI Number
1154368199
Provider Name
Samuel K Kelley
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
151 Mystic Ave Ste 6, Medford, MA, 02155-4632
Phone Number
617-877-8292
Fax Number
Provider Enumeration Date
05/31/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1154368199 01 MA NPI
institution
Provider Business Practice Location Address Details
Address
151 Mystic Ave Ste 6
City
State
Zip
02155-4632
Phone Number
617-877-8292
Fax Number
person
Provider Business Mailing Address Details
Address
151 Mystic Ave Ste 6
City
State
Zip
02155-4632
Phone Number
617-877-8292
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Psychiatry & Neurology
Speciality
Child & Adolescent Psychiatry
Taxonomy
License No.
72427 (Massachusetts)
Definition
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
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