Individual ProviderAnn Marie Conti-KellyInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address133 Scovill St, Suite 306, Waterbury, CT 06706-1127(203) 709-3667PECOS EnrollmentBased on the most recent information from CMS, provider Ann Marie Conti-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 3 days ago.Profile DetailsProvider ID1730283110Provider TypeIndividualFull NameConti-Kelly, Ann MarieTitleDr.CredentialM.D.GenderFemaleSole ProprietorYesEnumeration Date9/7/2006Last Updated5/2/2015Contact InformationPractice LocationPractice Address133 Scovill St, Suite 306, Waterbury, CT 06706-1127Phone(203) 709-3667Fax(203) 709-3663Mailing LocationMailing Address133 Scovill St, Suite 306, Waterbury, CT 06706-1127Phone(203) 709-3667Fax(203) 709-3663Provider TaxonomiesCodeDescriptionLicenseCode207R00000XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicense034289ConnecticutProvider IdentifiersIDDescriptionIssuerID001342899DescriptionMedicaidIssuerUnlistedConnecticut