MEDICARE: MR. CHAD R KELLEY ATC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2255A2300X	Athletic Trainer		MA

General Provider Information

NPI Number	:	1003004433
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. CHAD R KELLEY ATC

Provider Business Mailing Address
First Line	:	232 PEARL ST
Second Line	:
City	:	STOUGHTON
State	:	MA
Zip	:	02072-2325
Country	:	US
Telephone Number	:	781-344-4000
Fax Number	:	781-344-7040

Provider Business Practice Location Address
First Line	:	232 PEARL ST
Second Line	:
City	:	STOUGHTON
State	:	MA
Zip	:	02072-2325
Country	:	US
Telephone Number	:	781-344-4000
Fax Number	:	781-344-7040

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/10/2007
Last Update Date	:	10/10/2007

Similar Medicare Providers

1891821625 — TOWN OF STOUGHTON
Practice Location Address:

232 PEARL ST
STOUGHTON, MA
02072-2325

Practice Phone: 781-344-4000
Practice Fax:

1831550201 — PURE LIFE RENAL OF STOUGHTON LLC
Practice Location Address:

907 SUMNER ST , MEDICAL OFFICE BUILDING M107
STOUGHTON, MA
02072

Practice Phone: 781-341-8550
Practice Fax:

1780001990 — RENZ COUNSELING, LLC
Practice Location Address:

378 PAGE ST , SUITE 6
STOUGHTON, MA
02072-1124

Practice Phone: 339-364-8080
Practice Fax: 781-436-5829

1013859776 — DIANA VIRINA
Practice Location Address:

99 DRAKE AVE
STOUGHTON, MA
02072-2243

Practice Phone: 617-719-8262
Practice Fax:

1083556799 — TAYLOR DENTAL CARE PLLC
Practice Location Address:

450 PEARL ST STE 1
STOUGHTON, MA
02072-1617

Practice Phone: 781-344-5543
Practice Fax: 781-344-9851

1861495178 — ANGELS AMBULANCE INC.
Practice Location Address:

59 TOSCA DR
STOUGHTON, MA
02072-1501

Practice Phone: 781-871-3310
Practice Fax: 781-371-3930

Directions to “ MR. CHAD R KELLEY ATC” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.