Macaulay, Kelly Marie
Macaulay, Kelly Marie is an individual health care provider with primary practice located at 133 Brookline Ave , Boston MA 02215-3904. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Macaulay, Kelly Marie can be contacted via phone (617) 421-8888.Contact Information
Primary practice address
133 Brookline Ave
Boston MA 02215-3904
Phone: (617) 421-8888
Fax: (617) 421-3361
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 211997 | Massachusetts |
Profile Details
| NPI number | 1326018144 |
|---|---|
| LBN Legal business name | Macaulay, Kelly Marie |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 24th, 2006 |
| Last updated | Feb 27th, 2012 - about 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1326018144 | NPPES |
| Massachusetts | MEDICAID | 0151360 |
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