Carmel M Kelly, MD
Family Medicine in Randolph, Massachusetts
1164416228- Practice location
- 1093 N Main St, Randolph, MA 02368-2100
- Phone
- 781-963-0676
- Fax
- 781-963-7417
- Last updated
- April 7, 2011
Carmel M Kelly is a Family Medicine based in Randolph, MA. Carmel M Kelly practices in Randolph, MA and has the professional credentials of MD. The NPI Number for Carmel M Kelly is 1164416228 and holds a License No. 57521 (MA). The current practice location address for Carmel M Kelly is 1093 N Main St, Randolph, MA 02368-2100 and can be reached out via phone at 781-963-0676 and via fax at 781-963-7417.
Provider Profile Details
- NPI Number
- 1164416228
- Provider Name
- Carmel M Kelly
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 1093 N Main St, Randolph, MA 02368-2100
- Phone Number
- 781-963-0676
- Fax Number
- 781-963-7417
- Primary Taxonomy
- Family Medicine · 207Q00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- September 6, 2005
- Last Update Date
- April 7, 2011
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1093 N Main St
Randolph, MA 02368-2100 - City
- Randolph
- State
- Massachusetts
- Zip
- 02368-2100
- Phone Number
- 781-963-0676
- Fax Number
- 781-963-7417
Provider Business Mailing Address Details
- Address
- 1093 N Main St
Randolph, MA 02368-2100 - City
- Randolph
- State
- MA
- Zip
- 02368-2100
- Phone Number
- 781-963-0676
- Fax Number
- 781-963-7417
License Information
- License Number
- 57521
- License State
- MA
- Taxonomy
- Family Medicine · 207Q00000X · 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 Carmel M Kelly, MD?
The NPI number of Carmel M Kelly, MD is 1164416228. It was assigned on September 6, 2005 and is currently active in the NPPES registry.
What is the specialty of Carmel M Kelly, MD?
Carmel M Kelly, MD is registered under the primary taxonomy Family Medicine (code 207Q00000X), licensed in MA under license number 57521.
Where does Carmel M Kelly, MD practice?
The practice location is 1093 N Main St, Randolph, MA 02368-2100. The office can be reached at 781-963-0676 (phone) or 781-963-7417 (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 1164416228 directly on the NPPES registry website.