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MICHAEL KELLY
Surgery, Foot & Ankle

NPI Profile for MICHAEL KELLY in NASHUA, NH.

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Contact Information

MICHAEL KELLY
166 KINSLEY ST STE 201
NASHUA, NH  03060
 Phone: 603-880-9177
 Fax: 603-880-9672
 Website:
 

Specialty

 Taxonomy Code Specialty Code Provider Type

Surgery, Foot & Ankle

 213ES0103X 48 Podiatry
Indicates primary specialty

NPI Profile & details for MICHAEL KELLY · (Male)

NPI # 1801278783
Status Active
Credentials
Entity Individual
Enumeration date 06/26/2015
Last updated 10/03/2019 - About 7 years ago
Sole proprietor 1 Yes
Identifiers
  • MA License # LL 1332
  • NH License # 0371
Hospital affiliation(s)
  • ST JOSEPH HOSPITAL - (Acute Care)
    172 KINSLEY ST
    NASHUA, NH 03060
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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