Champion, Kelly Nicole

Champion, Kelly Nicole is an individual health care provider with primary practice located at 199 Reedsdale Rd , Milton MA 02186-3926. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Champion, Kelly Nicole can be contacted via phone (617) 696-4600.

Contact Information

Primary practice address
199 Reedsdale Rd Milton MA 02186-3926
Phone: (617) 696-4600
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA4354 Massachusetts

Profile Details

NPI number 1578836219
LBN Legal business name Champion, Kelly Nicole
Credentials MPAS, PA-C
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 10th, 2012
Last updated Apr 10th, 2018 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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