NPI Registry.org

John Thomas Kelly

NPI Registration Record

Provider / OrganizationNPIDate Certified
JOHN THOMAS KELLY11647588922023-01-21

John Thomas Kelly is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1164758892. Registration indicates John Thomas Kelly is a provider of access to adult/geriatric primary care providers services with a specialization in Allopathic & Osteopathic Physicians, General Practice Access to Pediatric Primary Care Providers (Allopathic & Osteopathic Physicians, General Practice) (Allopathic & Osteopathic Physicians, General Practice) (General Practice, ) (Primary Care/Family Planning/APRN/PA, ) (General Practice, Allopathic & Osteopathic Physicians)

Entity TypeIndividual
Provider NameDr. John Thomas Kelly M.D.
Practice Office Address175 BLOSSOM ST UNIT 1407
BOSTON, MA US
Practice Office Telephone2155274684
Mailing Address175 BLOSSOM ST UNIT 1407
BOSTON, MA 021142629 US
Business Telephone2155274684
Offices / Locations
AddressCity / StatePhone / Fax
900 Bryn Mawr Ave Penn Valley, PA 190721404 2155274684
24 Brighton Ln Oak Brook, IL 605232324 2155274684
HPT Codes
CodePractice
License No
State
208D00000X PRIMARYAccess to Adult/Geriatric Primary Care Providers
Allopathic & Osteopathic Physicians
General PracticeAccess to Pediatric Primary Care Providers
Allopathic & Osteopathic Physicians
General Practice
Allopathic & Osteopathic Physicians
General Practice
General Practice

Primary Care/Family Planning/APRN/PA

General Practice
Allopathic & Osteopathic Physicians
036-077958
IL
OPI Codes
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