PAUL V KELLY RN
NPI 1053511030
Registered Nurse in Worcester, MA

Q: What is Paul Kelly's NPI number?

The NPI number for Paul Kelly is 1053511030. It was assigned to this individual provider in the NPPES registry on July 19, 2007.

Q: What is Paul Kelly's specialty?

The primary specialty registered for this NPI is Registered Nurse with taxonomy code 163W00000X.

Q: When was this NPI record last updated?

The NPPES record for Paul Kelly was last updated on July 19, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 19, 2007

19 TACOMA ST, WORCESTER, MA 01605(508) 852-1805(508) 853-8593 Get Directions Write a Review

NPPES record last updated: July 19, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Paul V Kelly Rn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PAUL V KELLY RN (NPI 1053511030) is an individual registered nurse in Worcester, Massachusetts, licensed in Massachusetts (271296) and active in the NPI registry since July 2007.

NPPES Registry Identity

NPI1053511030

Entity TypeIndividualMale

Primary Taxonomy163W00000X

Provider Legal NamePAUL V KELLYCredential: RN

Location Address19 TACOMA STWorcester, MA 01605-3516

Mailing Address19 Tacoma StWorcester, MA 01605-3516 · (508) 852-1805 · Fax (508) 853-8593

Phone(508) 852-1805

Fax(508) 853-8593

Sole ProprietorNo

Enumeration DateJuly 19, 2007

✔ NPI 1053511030 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRegistered NurseNursing Service Providers

Taxonomy Code163W00000X

License✔ Licensed in MA · 271296

Definition

(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.

19 TACOMA ST, Worcester, MA 01605

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Other Identifiers 1

Medicaid1301071MA

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ANNE WALTON

Registered Nurse