Provider Demographics
NPI:1306026919
Name:KELLY, PATRICK FRANCIS (MD)
Entity Type:Individual
Prefix:DR
First Name:PATRICK
Middle Name:FRANCIS
Last Name:KELLY
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:87 CAMBRIDGEPARK DR
Mailing Address - Street 2:Y2010
Mailing Address - City:CAMBRIDGE
Mailing Address - State:MA
Mailing Address - Zip Code:02140-2311
Mailing Address - Country:US
Mailing Address - Phone:617-665-7277
Mailing Address - Fax:617-665-8315
Practice Address - Street 1:87 CAMBRIDGEPARK DR
Practice Address - Street 2:Y2010
Practice Address - City:CAMBRIDGE
Practice Address - State:MA
Practice Address - Zip Code:02140-2311
Practice Address - Country:US
Practice Address - Phone:617-665-7277
Practice Address - Fax:617-665-8315
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-12
Last Update Date:2007-11-12
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
OH35-0805922080P0207X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0207XAllopathic & Osteopathic PhysiciansPediatricsPediatric Hematology-Oncology