Michael R Kelly, MD
Internal Medicine in Fairhaven, Massachusetts
1679780761- Practice location
- 208 Mill RD, Fairhaven, MA 02719-5208
- Phone
- 508-758-3781
- Fax
- 508-758-4455
- Last updated
- October 18, 2024
Michael R Kelly is an Internal Medicine based in Fairhaven, MA. Michael R Kelly practices in Fairhaven, MA and has the professional credentials of MD. The NPI Number for Michael R Kelly is 1679780761 and holds a License No. 243308 (MA). The current practice location address for Michael R Kelly is 208 Mill RD, Fairhaven, MA 02719-5208 and can be reached out via phone at 508-758-3781 and via fax at 508-758-4455.
Provider Profile Details
- NPI Number
- 1679780761
- Provider Name
- Michael R Kelly
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 208 Mill RD, Fairhaven, MA 02719-5208
- Phone Number
- 508-758-3781
- Fax Number
- 508-758-4455
- Primary Taxonomy
- Internal Medicine · 207R00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- May 17, 2007
- Last Update Date
- October 18, 2024
- Certification Date
- October 18, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 208 Mill RD
Fairhaven, MA 02719-5208 - City
- Fairhaven
- State
- Massachusetts
- Zip
- 02719-5208
- Phone Number
- 508-758-3781
- Fax Number
- 508-758-4455
Provider Business Mailing Address Details
- Address
- 200 Mill RD
Ste 180
Fairhaven, MA 02719-5252 - City
- Fairhaven
- State
- MA
- Zip
- 02719-5252
- Phone Number
- 508-973-2000
- Fax Number
- 508-973-2001
License Information
- License Number (1)
- 243308
- License State (1)
- MA
- Taxonomy (1)
- Pediatrics · 208000000X
- License Number (2)
- 243308
- License State (2)
- MA
- Taxonomy (2)
- Internal Medicine · 207R00000X · 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 Michael R Kelly, MD?
The NPI number of Michael R Kelly, MD is 1679780761. It was assigned on May 17, 2007 and is currently active in the NPPES registry.
What is the specialty of Michael R Kelly, MD?
Michael R Kelly, MD is registered under the primary taxonomy Internal Medicine (code 207R00000X), licensed in MA under license number 243308.
Where does Michael R Kelly, MD practice?
The practice location is 208 Mill RD, Fairhaven, MA 02719-5208. The office can be reached at 508-758-3781 (phone) or 508-758-4455 (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 1679780761 directly on the NPPES registry website.