Kelley, Leroy J

Kelley, Leroy J is an individual health care provider with primary practice located at 24 Walpole St Fl 1 , Norwood MA 02062-3356. He recently has 2 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Foot Surgery, Podiatric Medicine & Surgery Service Providers / Podiatrist. Podiatric Medicine & Surgery Service Providers / Podiatrist is his primary health care specialty. Kelley, Leroy J can be contacted via phone (781) 762-4205.

Contact Information

Primary practice address
24 Walpole St Fl 1 Norwood MA 02062-3356
Phone: (781) 762-4205
Fax: (781) 255-7905
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot Surgery 213ES0131X 1496 Massachusetts
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 1496 Massachusetts

Profile Details

NPI number 1003897034
LBN Legal business name Kelley, Leroy J
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 8th, 2005
Last updated Dec 1st, 2020 - about 4 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 1003897034 NPPES
Massachusetts Other Y70632 BC/BS
Massachusetts Other 1496 BC/BS
Massachusetts Other V09521 BC/BS
Massachusetts Other 042715679 BC/BS
Massachusetts MEDICAID 0335797 BC/BS
Massachusetts Other LXO122 BC/BS

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