Healthcare Provider Details

I. General information

NPI: 1710169487
Provider Name (Legal Business Name): E.KELLY MCLAUGHLIN, D.P.M.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/04/2007
Last Update Date: 03/12/2025
Certification Date: 03/12/2025
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: 747-306-4146
  • Fax: 401-496-9501

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License NumberMA1877
License Number StateMA
# 2
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License NumberMA1877
License Number StateMA

VIII. Authorized Official

Name: E. KELLY MCLAUGHLIN
Title or Position: D.P.M.
Credential:
Phone: 508-226-8070