Active NPIOrganization

Michael J. Kelly MD

Internal Medicine in Lakeville, Connecticut

NPI Number1376703751
Practice location
308 Main St, Lakeville, CT 06039-1204
Fax
860-435-3561
Last updated
June 10, 2008

Michael J. Kelly MD is a healthcare organization based in Lakeville, CT. Michael J. Kelly MD practices in Lakeville, CT. The NPI Number for Michael J. Kelly MD is 1376703751 and holds a License No. 041727 (CT). The current practice location address for Michael J. Kelly MD is 308 Main St, Lakeville, CT 06039-1204 and can be reached out via phone at 860-435-3551 and via fax at 860-435-3561.

Provider Profile Details

NPI Number
1376703751
Provider Name
Michael J. Kelly MD
Provider Entity Type
Organization
Address
308 Main St, Lakeville, CT 06039-1204
Phone Number
860-435-3551
Fax Number
860-435-3561
Primary Taxonomy
Internal Medicine · 207R00000X
Organization Subpart
No
Authorized Official
Michael J Kelly, MD · Owner · 860-435-3551
Provider Enumeration Date
June 10, 2008
Last Update Date
June 10, 2008
NPI Status
Active

Provider Business Practice Location Address Details

Address
308 Main St
Lakeville, CT 06039-1204
Zip
06039-1204
Phone Number
860-435-3551
Fax Number
860-435-3561
Lakeville, CT 06039Get directions →

Provider Business Mailing Address Details

Address
Po Box 1748
Lakeville, CT 06039-1748
City
Lakeville
State
CT
Zip
06039-1748
Phone Number
860-435-3551
Fax Number
860-435-3561

License Information

License Number
041727
License State
CT
Taxonomy
Internal Medicine · 207R00000X · 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 J. Kelly MD?

The NPI number of Michael J. Kelly MD is 1376703751. It was assigned on June 10, 2008 and is currently active in the NPPES registry.

What is the specialty of Michael J. Kelly MD?

Michael J. Kelly MD is registered under the primary taxonomy Internal Medicine (code 207R00000X), licensed in CT under license number 041727.

Where does Michael J. Kelly MD practice?

The practice location is 308 Main St, Lakeville, CT 06039-1204. The office can be reached at 860-435-3551 (phone) or 860-435-3561 (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 1376703751 directly on the NPPES registry website.

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