Edward Kelly, MD
Surgery, Surgical Critical Care in Springfield, Massachusetts
1912963265- Practice location
- 2 Medical Center Dr Ste 301, Springfield, MA 01107-1298
- Phone
- 413-794-8020
- Fax
- 413-794-2165
- Last updated
- April 20, 2023
Edward Kelly is a Surgery, Surgical Critical Care based in Springfield, MA. Edward Kelly practices in Springfield, MA and has the professional credentials of MD. The NPI Number for Edward Kelly is 1912963265 and holds a License No. 210484 (MA). The current practice location address for Edward Kelly is 2 Medical Center Dr Ste 301, Springfield, MA 01107-1298 and can be reached out via phone at 413-794-8020 and via fax at 413-794-2165.
Provider Profile Details
- NPI Number
- 1912963265
- Provider Name
- Edward Kelly
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 2 Medical Center Dr Ste 301, Springfield, MA 01107-1298
- Phone Number
- 413-794-8020
- Fax Number
- 413-794-2165
- Primary Taxonomy
- Surgery, Surgical Critical Care · 2086S0102X
- Sole Proprietor
- No
- Provider Enumeration Date
- April 25, 2006
- Last Update Date
- April 20, 2023
- Certification Date
- April 20, 2023
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 2 Medical Center Dr Ste 301
Springfield, MA 01107-1298 - City
- Springfield
- State
- Massachusetts
- Zip
- 01107-1298
- Phone Number
- 413-794-8020
- Fax Number
- 413-794-2165
Provider Business Mailing Address Details
- Address
- 280 Chestnut St Fl 2
Springfield, MA 01199-1619 - City
- Springfield
- State
- MA
- Zip
- 01199-1619
- Phone Number
- 413-794-5700
License Information
- License Number (1)
- 210484
- License State (1)
- MA
- Taxonomy (1)
- Surgery · 208600000X
- License Number (2)
- 210484
- License State (2)
- MA
- Taxonomy (2)
- Surgery, Surgical Critical Care · 2086S0102X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Surgery, Surgical Critical Care providers near Springfield, MA
View all Surgery, Surgical Critical Care providers in Springfield →Frequently Asked Questions
What is the NPI number of Edward Kelly, MD?
The NPI number of Edward Kelly, MD is 1912963265. It was assigned on April 25, 2006 and is currently active in the NPPES registry.
What is the specialty of Edward Kelly, MD?
Edward Kelly, MD is registered under the primary taxonomy Surgery, Surgical Critical Care (code 2086S0102X), licensed in MA under license number 210484.
Where does Edward Kelly, MD practice?
The practice location is 2 Medical Center Dr Ste 301, Springfield, MA 01107-1298. The office can be reached at 413-794-8020 (phone) or 413-794-2165 (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 1912963265 directly on the NPPES registry website.