Dr Bryan Robert Kelly, PHD is a
Psychologist - Clinical based in East Sandwich, Massachusetts. Dr Bryan Robert Kelly is licensed to practice in Massachusetts (license number 3610) and his current practice location is
3 Gray Birch Rd, East Sandwich, Massachusetts. He can be reached at his office (for appointments etc.) via phone at
(508) 833-9013.
NPI number for Dr Bryan Robert Kelly is 1174596357 and his current mailing address is 3 Gray Birch Rd, East Sandwich, Massachusetts. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1174596357.
Healthcare Provider's Profile
| Full Name | Dr Bryan Robert Kelly |
|---|
| Gender | Male |
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| Speciality | Psychologist - Clinical |
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| Location | 3 Gray Birch Rd, East Sandwich, Massachusetts |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1174596357
- Provider Enumeration Date: 02/09/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Dr Bryan Robert Kelly such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1174596357 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103TC0700X | Psychologist - Clinical | 3610 (Massachusetts) | Primary |
| 103TC0700X | Psychologist - Clinical | 710 (New Hampshire) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Bryan Robert Kelly is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Bryan Robert Kelly, PHD
3 Gray Birch Rd,
East Sandwich, MA 02537-1457
Ph: (508) 833-9013 | Dr Bryan Robert Kelly, PHD
3 Gray Birch Rd,
East Sandwich, MA 02537-1457
Ph: (508) 833-9013 |
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