Dr. Elizabeth Anne Kelly, MD
Obstetrics & Gynecology in Waterbury, CT. Individual provider (NPI-1).
NPI number1750558656
StatusActive
Last updated in NPPESJan 28, 2013
Details
- NPI
- 1750558656
- Entity type
- Individual (NPI-1)
- Name
- Dr. Elizabeth Anne Kelly
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 12, 2008
- Last updated
- Jan 28, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | 050869 | CT | Yes |
| 207V00000X | Obstetrics & Gynecology | 0101249724 | VA |
Practice location
60 Westwood AveSuite 100
Waterbury, CT 06708-2460
Phone 203-573-1425 · Fax 203-573-8236
Mailing address
60 Westwood AveSuite 100
Waterbury, CT 06708-2460
Phone 203-573-1425 · Fax 203-573-8236
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