Individual provider · Type 1 NPI

Eoin C. Kelly, PA

Medical Physician Assistant · Brockton, MA

NPI number 1336441278 Active

Practice location

680 Centre St
Brockton, MA 02302-3308

Call (508) 941-7000 Map

Fax (508) 941-6299

Other practice locations

  • 55 Fogg Rd, Weymouth, MA 02190-2432 · (781) 624-8000

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X4087 (MA)

Medical Physician Assistant: Definition to come...

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About NPI 1336441278

Eoin C. Kelly, PA's National Provider Identifier is 1336441278, issued on Nov 29, 2010. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Brockton, MA. The record was last updated on Jun 17, 2026.