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Contact Information

RAYMOND KELLY, DO
323 LOWELL ST
ANDOVER, MA01810
 Phone: 978-783-5000
 Fax: 978-313-8184
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
Indicates primary specialty

NPI Profile & details for RAYMOND KELLY · (Male)

NPI # 1326058181
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 08/08/2006
Last updated 09/26/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • MA License # 275150
  • MA Medicaid 0118842
  • ME Medicaid 271040099
  • NH Medicaid 30008650
  • Other 000000042886 BMC HEALTHNET PLAN
  • Other 3428550 CIGNA
  • Other AA86677 HARVARD PILGRIM
  • Other 930055342 RAILROAD MEDICARE
  • NH Other 0107100Y0NH02 ANTHEM
  • NH Other P00457777 RAILROAD MEDICARE
Hospital affiliation(s)
  • NORTH SHORE MEDICAL CENTER - (Acute Care)
    81 HIGHLAND AVENUE
    SALEM, MA 01970
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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