Active NPIIndividual provider

Dr. John R Kelley, MD

Pediatrics, Adolescent Medicine in East Longmeadow, Massachusetts

NPI Number1780671081
Practice location
15 Vreeland Ave, East Longmeadow, MA 01028-1631
Fax
413-787-9992
Last updated
December 13, 2011

John R Kelley is a Pediatrics, Adolescent Medicine based in East Longmeadow, MA. John R Kelley practices in East Longmeadow, MA and has the professional credentials of MD. The NPI Number for John R Kelley is 1780671081 and holds a License No. 80312 (MA). The current practice location address for John R Kelley is 15 Vreeland Ave, East Longmeadow, MA 01028-1631 and can be reached out via phone at 413-787-2555 and via fax at 413-787-9992.

Provider Profile Details

NPI Number
1780671081
Provider Name
John R Kelley
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
15 Vreeland Ave, East Longmeadow, MA 01028-1631
Phone Number
413-787-2555
Fax Number
413-787-9992
Primary Taxonomy
Pediatrics, Adolescent Medicine · 2080A0000X
Sole Proprietor
No
Provider Enumeration Date
October 2, 2005
Last Update Date
December 13, 2011
NPI Status
Active

Provider Business Practice Location Address Details

Address
15 Vreeland Ave
East Longmeadow, MA 01028-1631
Zip
01028-1631
Phone Number
413-787-2555
Fax Number
413-787-9992
East Longmeadow, MA 01028Get directions →

Provider Business Mailing Address Details

Address
15 Vreeland Ave
East Longmeadow, MA 01028-1631
City
East Longmeadow
State
MA
Zip
01028-1631
Phone Number
413-787-2555
Fax Number
413-787-9992

License Information

License Number
80312
License State
MA
Taxonomy
Pediatrics, Adolescent Medicine · 2080A0000X · 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. John R Kelley, MD?

The NPI number of Dr. John R Kelley, MD is 1780671081. It was assigned on October 2, 2005 and is currently active in the NPPES registry.

What is the specialty of Dr. John R Kelley, MD?

Dr. John R Kelley, MD is registered under the primary taxonomy Pediatrics, Adolescent Medicine (code 2080A0000X), licensed in MA under license number 80312.

Where does Dr. John R Kelley, MD practice?

The practice location is 15 Vreeland Ave, East Longmeadow, MA 01028-1631. The office can be reached at 413-787-2555 (phone) or 413-787-9992 (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 1780671081 directly on the NPPES registry website.

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