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Contact Information

MARYBETH S KELLY, PAC
75 SPRINGFIELD RD
SUITE 1 FAMILY MEDICINE ASSOC
WESTFIELD, MA01085
 Phone: 413-562-5173
 Fax: 413-562-1716
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for MARYBETH S KELLY · (Female)

NPI Number 1235139130
Status Active
Credentials PAC
Entity Individual
Enumeration date 07/21/2005
Last updated 01/03/2008 - About 18 years ago
Sole proprietor 1 No
Identifiers
  • MA License # 1150
  • Other 21237210422 BEECH STREET
  • Other 011500 CONNECTICARE OF MA
Hospital affiliation(s) Not Available
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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