Provider Demographics
NPI:1144285545
Name:HOYE, KELLY LYNN (MD)
Entity type:Individual
Prefix:
First Name:KELLY
Middle Name:LYNN
Last Name:HOYE
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:600 OLD SOMERSET AVE PO BOX 586
Mailing Address - Street 2:
Mailing Address - City:NORTH DIGHTON
Mailing Address - State:MA
Mailing Address - Zip Code:02764-0586
Mailing Address - Country:US
Mailing Address - Phone:508-824-7557
Mailing Address - Fax:508-824-8296
Practice Address - Street 1:600 OLD SOMERSET AVE
Practice Address - Street 2:
Practice Address - City:NORTH DIGHTON
Practice Address - State:MA
Practice Address - Zip Code:02764-0586
Practice Address - Country:US
Practice Address - Phone:508-824-7557
Practice Address - Fax:508-824-8296
Is Sole Proprietor?:No
Enumeration Date:2006-04-19
Last Update Date:2011-09-25
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA75603207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
04317440102715A000OtherTRICARE
MA3094791Medicaid
75673OtherAETNA
J12690OtherBCBS
0101038OtherUNITED HEALTH
075603OtherTUFTS
080038337OtherRAILROAD MEDICARE
1559816OtherCIGNA
000000026463OtherBOSTON MEDICAL CENTER
MA9768947Medicaid
18252OtherHEALTHCARE VALUE
30417OtherDEPT OF MEDICAL SECURITY
7974OtherHARVARD PILGRAM
MA3094791Medicaid
MA9768947Medicaid
MAM15639Medicare PIN