Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARTIN J. KELLY, PA
ActiveMARTIN J. KELLY, PA is a Physician Assistant healthcare provider located in FARMINGTON, Connecticut. NPI 1447300702 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · FARMINGTON, CT
Registration Details
- NPI Number
- 1447300702
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 11, 2007 (19.585592394015 yrs)
- Last Updated
- Mar 7, 2023
- License
-
000979 (CT)
Practice Information
- Address
-
263 FARMINGTON AVEPROVIDER ENROLLMENTFARMINGTON, CT, 060302212Browse CT providers · Browse ZIP 06030
- Phone
- 8606797503
- Fax
- 8606791610
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in FARMINGTON, CT
| Name | Credential | NPI |
|---|---|---|
| DAVID MALCHMAN | PA | 1881692085 |
| JUDE J ADE | PA | 1508865585 |
| LISA A MALONE | PA-C | 1740263409 |
| KIM A STANOWSKI | PA-C | 1346224771 |
| COREY A CHAMPEAU | P.A. | 1992756308 |
| MR. THOMAS VINCENT GOCKE III | PA-C | 1508819749 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.