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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1326018144 NPPES
Massachusetts MEDICAID 0151360

Popular Providers