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Contact Information

PAUL F KELLY, MD
56 FRANKLIN ST.
3RD FLOOR
WATERBURY, CT06706-1253
 Phone: 203-709-6000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Cardiovascular Disease

207RC0000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for PAUL F KELLY · (Male)

NPI # 1548297930
Status Active
Credentials MD
Entity Individual
Enumeration date 06/28/2006
Last updated 11/10/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • CT License # 035359
  • CT Medicaid 001353599
  • CO Other 010035359CT01 ANTHEM BC & BS
  • CT Other 4369921 AETNA HEALTH PLANS
  • CT Other 01035359 CIGNA HEALTH PLANS
  • CT Other 035359 CONNECTICARE
  • CT Other 0R03179 HEALTH NET OF NORTHEAST
  • CT Other P407727 OXFORD HEALTH PLANS
  • CT Other P00025411 RR MEDICARE
  • CT Other 10-86502 UHC
  • CT Other 604583 UNITED HEALTHCARE
  • CT Other 873719 USA
  • CT Other 206706 WELLCARE
Hospital affiliation(s)
  • SAINT MARYS HOSPITAL - (Acute Care)
    56 FRANKLIN ST
    WATERBURY, CT 06706
  • WATERBURY HOSPITAL - (Acute Care)
    64 ROBBINS ST
    WATERBURY, CT 06721
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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