Flynn, Kelly

Flynn, Kelly is an individual health care provider with primary practice located at 55 Dimock St , Roxbury MA 02119-1029. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Gynecology. Allopathic & Osteopathic Physicians / Gynecology is her primary health care specialty. Flynn, Kelly can be contacted via phone (617) 442-8800.

Contact Information

Primary practice address
55 Dimock St Roxbury MA 02119-1029
Fax: (617) 541-8334
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 036405 Connecticut
Allopathic & Osteopathic Physicians / Gynecology 207VG0400X 229645 Massachusetts

Profile Details

NPI number 1831197896
LBN Legal business name Flynn, Kelly
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 13th, 2005
Last updated Mar 15th, 2013 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1831197896 NPPES
Connecticut MEDICAID 001364059

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