Individual provider · Type 1 NPI

Blaze Kelly, DO

Pain Medicine (Anesthesiology) Physician · Bridgeport, CT

NPI number 1003445842 Active

Practice location

267 Grant St
Bridgeport, CT 06610-2805

Call (203) 384-3000 Map

Fax (203) 384-4108

Mailing address

111 S 11th St Ste 8290
Philadelphia, PA 19107-4824

Other practice locations

  • 111 S 11th St Ste 8290, Philadelphia, PA 19107-4824 · (215) 955-2370

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XOT019937 (PA)
Pain Medicine (Anesthesiology) Physician Primary 207LP2900X81122 (CT)

Pain Medicine (Anesthesiology) Physician: An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists.

598 other providers at this address

Other pain medicine (anesthesiology) physician providers in Bridgeport

See all in Bridgeport →

About NPI 1003445842

Blaze Kelly, DO's National Provider Identifier is 1003445842, issued on Apr 3, 2020. The primary taxonomy on file is Pain Medicine (Anesthesiology) Physician (207LP2900X), and the practice location is in Bridgeport, CT. The record was last updated on May 16, 2025.