Active NPIIndividual provider

Marybeth S Kelly, PAC

Physician Assistant in Westfield, Massachusetts

NPI Number1235139130
Practice location
75 Springfield RD, Suite 1 Family Medicine Assoc, Westfield, MA 01085
Fax
413-562-1716
Last updated
January 3, 2008

Marybeth S Kelly is a Physician Assistant based in Westfield, MA. Marybeth S Kelly practices in Westfield, MA and has the professional credentials of PAC. The NPI Number for Marybeth S Kelly is 1235139130 and holds a License No. 1150 (MA). The current practice location address for Marybeth S Kelly is 75 Springfield RD, Suite 1 Family Medicine Assoc, Westfield, MA 01085 and can be reached out via phone at 413-562-5173 and via fax at 413-562-1716.

Provider Profile Details

NPI Number
1235139130
Provider Name
Marybeth S Kelly
Credential
PAC
Provider Entity Type
Individual
Gender
Female
Address
75 Springfield RD, Suite 1 Family Medicine Assoc, Westfield, MA 01085
Phone Number
413-562-5173
Fax Number
413-562-1716
Primary Taxonomy
Physician Assistant · 363A00000X
Sole Proprietor
No
Other Names
Ms. Marybeth S Markham, PAC (Former Name)
Provider Enumeration Date
July 21, 2005
Last Update Date
January 3, 2008
NPI Status
Active

Provider Business Practice Location Address Details

Address
75 Springfield RD
Suite 1 Family Medicine Assoc
Westfield, MA 01085
Zip
01085
Phone Number
413-562-5173
Fax Number
413-562-1716
Westfield, MA 01085Get directions →

Provider Business Mailing Address Details

Address
75 Springfield RD
Suite 1 Family Medicine Assoc
Westfield, MA 01085
City
Westfield
State
MA
Zip
01085
Phone Number
413-562-5173
Fax Number
413-562-1716

License Information

License Number
1150
License State
MA
Taxonomy
Physician Assistant · 363A00000X · 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 Marybeth S Kelly, PAC?

The NPI number of Marybeth S Kelly, PAC is 1235139130. It was assigned on July 21, 2005 and is currently active in the NPPES registry.

What is the specialty of Marybeth S Kelly, PAC?

Marybeth S Kelly, PAC is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in MA under license number 1150.

Where does Marybeth S Kelly, PAC practice?

The practice location is 75 Springfield RD, Suite 1 Family Medicine Assoc, Westfield, MA 01085. The office can be reached at 413-562-5173 (phone) or 413-562-1716 (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 1235139130 directly on the NPPES registry website.

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