NPI 1164758892

John Thomas Kelly, MD

Practitioner General Practice Physician Boston, MA

Practice location

Address: 175 Blossom St Unit 1407, Boston, MA 02114-2629
Phone: (215) 527-4684

Registered specialties

General Practice Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208D00000X Licence 036-077958 (IL)

Other General Practice providers in Massachusetts →

Registry record

NPI: 1164758892
Entity type: Individual
Sex (as registered): Male
NPI issued: 31 Oct 2009
Record last updated: 13 Mar 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.