NPI 1801278783 · live from the CMS NPI Registry
Michael Kelly
Podiatrist, Foot & Ankle Surgery in Nashua, NH. National Provider Identifier 1801278783, active.
NPI record
| NPI | 1801278783 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Podiatrist, Foot & Ankle Surgery 213ES0103X |
| Practice location | 166 Kinsley St Ste 201, Nashua, NH 03060 |
| Practice phone | 603-880-9177 |
| Mailing address | C/O St Marys Health System, Po Box 7291, Lewiston, ME 04243 |
| Enumerated | June 26, 2015 |
| Last updated | October 3, 2019 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Podiatrist, Foot & Ankle Surgery | 213ES0103X | LL 1332 (MA) |
| Podiatrist, Foot & Ankle Surgery primary | 213ES0103X | 0371 (NH) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.