Individual ProviderTaylor KellySocial WorkerBehavioral Health & Social Service ProvidersPractice Address520 Dudley St, Roxbury, MA 02119-2769(508) 340-1948PECOS EnrollmentBased on the most recent information from CMS, provider Taylor Kelly does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records today at 12:07 PM.Profile DetailsProvider ID1801443072Provider TypeIndividualFull NameKelly, TaylorGenderFemaleSole ProprietorNoEnumeration Date8/22/2019Last Updated8/22/2019Contact InformationPractice LocationPractice Address520 Dudley St, Roxbury, MA 02119-2769Phone(508) 340-1948FaxUnlisted FaxMailing LocationMailing Address520 Dudley St, Roxbury, MA 02119-2769PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer