Healthcare Provider Details

I. General information

NPI: 1790705457
Provider Name (Legal Business Name): E. KELLY MCLAUGHLIN DPM
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/19/2006
Last Update Date: 06/12/2026
Certification Date: 06/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 E WASHINGTON ST UNIT 14
NORTH ATTLEBORO MA
02760-6302
US

IV. Provider business mailing address

500 E WASHINGTON ST UNIT 14
NORTH ATTLEBORO MA
02760-6302
US

V. Phone/Fax

Practice location:
  • Phone: 774-306-4146
  • Fax: 401-496-9501
Mailing address:
  • Phone: 774-306-4146
  • Fax: 401-496-9501

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code213E00000X
TaxonomyPodiatrist
License NumberDPM00241
License Number StateRI
# 2
Primary TaxonomyY
Taxonomy Code213E00000X
TaxonomyPodiatrist
License NumberMA1877
License Number StateMA
# 3
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License NumberMA1877
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: