Doctor Name: | E. LYNNE KELLEY |
NPI Number: | 1104863794 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D. |
License Number: | 81069 |
Business Practice Address: | 1 Boston Scientific Pl Boston Scientific Natick, MA - 017601536 |
Business Phone Number: | 5086527490 |
Business Fax Number: | |
Mailing Address: | 1 Boston Scientific Pl, Boston Scientific NATICK |
State: | MA |
Postal Code: | 017601536 |
Phone Number: | 5086527490 |
Fax Number: | |
NPI Enumeration Date: | 06/01/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2086S0129X |
License Number: | 81069 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Surgery |
Taxonomy Specialization: | Vascular Surgery |
Taxonomy Definition: | A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |