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Contact Information

KELLY FLYNN, MD
55 DIMOCK ST
ROXBURY, MA02119-1029
 Phone: 617-442-8800
 Fax: 617-541-8334
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Gynecology

207VG0400X 16 Physician/Obstetrics & Gynecology
 

Obstetrics & Gynecology

207V00000X 16 Physician/Obstetrics & Gynecology
Indicates primary specialty

NPI Profile & details for KELLY FLYNN · (Female)

NPI Number 1831197896
Status Active
Credentials MD
Entity Individual
Enumeration date 07/13/2005
Last updated 03/15/2013 - About 13 years ago
Sole proprietor 1 No
Identifiers
  • CT License # 036405
  • MA License # 229645
  • CT Medicaid 001364059
Hospital affiliation(s)
  • JOHNSON MEMORIAL HOSPITAL - (Acute Care)
    201 CHESTNUT HILL RD
    STAFFORD SPRINGS, CT 06076
  • ST FRANCIS HOSPITAL & MEDICAL CENTER - (Acute Care)
    114 WOODLAND STREET
    HARTFORD, CT 06105
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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