Kelly, Eoin C

Kelly, Eoin C is an individual health care provider with primary practice located at 680 Centre St , Brockton MA 02302-3308. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Kelly, Eoin C can be contacted via phone (508) 941-7000.

Contact Information

Primary practice address
680 Centre St Brockton MA 02302-3308
Fax: (508) 941-6299
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 4087 Massachusetts

Profile Details

NPI number 1336441278
LBN Legal business name Kelly, Eoin C
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 29th, 2010
Last updated May 27th, 2015 - about 10 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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