Kelly, Karen G

Kelly, Karen G is an individual health care provider with primary practice located at 165 Tor Court Hillcrest Family Health, Pittsfield MA 01201. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Geriatric Medicine. Allopathic & Osteopathic Physicians / Geriatric Medicine is her primary health care specialty. Kelly, Karen G can be contacted via phone (413) 499-2054.

Contact Information

Primary practice address
165 Tor Court Hillcrest Family Health Pittsfield MA 01201
Phone: (413) 499-2054
Fax: (413) 445-9517
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD023134E Pennsylvania
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X 224933 Massachusetts

Profile Details

NPI number 1487603999
LBN Legal business name Kelly, Karen G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 10th, 2006
Last updated Feb 8th, 2010 - about 14 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 1487603999 NPPES
Massachusetts MEDICAID 2108801

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