Most Relevant Information
Provider Data
| NPI Number: | 1003004433 |
| Provider Name: | CHAD R KELLEY ATC |
| Entity Type: | Individual |
| Taxonomy Code: | 2255A2300X |
| Specialty: | Specialist/Technologist |
| License Number: |
Most Important Dates
| Enumeration Date: | 10/10/2007 |
| Last Updated: | 10/10/2007 |
Provider Practice Location
232 PEARL ST
STOUGHTON
MA
020722325
Practice Location Phone/Fax
| Phone: | 7813444000 |
| Fax: | 7813447040 |
Provider Mailing Location
232 PEARL ST
STOUGHTON
MA
020722325
Provider Mailing Phone/Fax
| Phone: | 7813444000 |
| Fax: | 7813447040 |