Active NPIIndividual providerSole proprietor

Dr. Chullainn F Kelly, DC, ATC

Chiropractor in Northborough, Massachusetts

NPI Number1508413535
Practice location
269 W Main St, Northborough, MA 01532-2381
Fax
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Last updated
March 20, 2022

Chullainn F Kelly is a Chiropractor based in Northborough, MA. Chullainn F Kelly practices in Northborough, MA and has the professional credentials of DC, ATC. The NPI Number for Chullainn F Kelly is 1508413535 and holds a License No. 100207 (MA). The current practice location address for Chullainn F Kelly is 269 W Main St, Northborough, MA 01532-2381 and can be reached out via phone at 508-466-8007.

Provider Profile Details

NPI Number
1508413535
Provider Name
Chullainn F Kelly
Credential
DC, ATC
Provider Entity Type
Individual
Gender
Male
Address
269 W Main St, Northborough, MA 01532-2381
Phone Number
508-466-8007
Primary Taxonomy
Chiropractor · 111N00000X
Sole Proprietor
Yes
Provider Enumeration Date
August 23, 2019
Last Update Date
March 20, 2022
Certification Date
March 20, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
269 W Main St
Northborough, MA 01532-2381
Zip
01532-2381
Phone Number
508-466-8007
Northborough, MA 01532Get directions →

Provider Business Mailing Address Details

Address
7 Hanna RD
Framingham, MA 01701-4439
City
Framingham
State
MA
Zip
01701-4439

License Information

License Number (1)
100207
License State (1)
MA
Taxonomy (1)
Emergency Medicine, Sports Medicine · 207PS0010X
License Number (2)
3765
License State (2)
MA
Taxonomy (2)
Chiropractor · 111N00000X · 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 Dr. Chullainn F Kelly, DC, ATC?

The NPI number of Dr. Chullainn F Kelly, DC, ATC is 1508413535. It was assigned on August 23, 2019 and is currently active in the NPPES registry.

What is the specialty of Dr. Chullainn F Kelly, DC, ATC?

Dr. Chullainn F Kelly, DC, ATC is registered under the primary taxonomy Chiropractor (code 111N00000X), licensed in MA under license number 100207.

Where does Dr. Chullainn F Kelly, DC, ATC practice?

The practice location is 269 W Main St, Northborough, MA 01532-2381. The office can be reached at 508-466-8007 (phone).

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 1508413535 directly on the NPPES registry website.

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