Kelley, Jean C.

Kelley, Jean C. is an individual health care provider with primary practice located at 1353 Dorchester Ave , Dorchester MA 02122-2932. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Kelley, Jean C. can be contacted via phone (617) 740-2277.

Contact Information

Primary practice address
1353 Dorchester Ave Dorchester MA 02122-2932
Phone: (617) 740-2277
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 72752 Massachusetts

Profile Details

NPI number 1598725483
LBN Legal business name Kelley, Jean C.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 24th, 2006
Last updated Jan 19th, 2017 - about 8 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 1598725483 NPPES
Massachusetts MEDICAID 3070123

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