Kelley, Catherine

Kelley, Catherine is an individual health care provider with primary practice located at 545A Centre St , Jamaica Plain MA 02130. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Kelley, Catherine can be contacted via phone (617) 522-5464.

Contact Information

Primary practice address
545A Centre St Jamaica Plain MA 02130
Phone: (617) 522-5464
Fax: (617) 524-2966
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 183293 Massachusetts

Profile Details

NPI number 1205938677
LBN Legal business name Kelley, Catherine
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 5th, 2006
Last updated May 14th, 2008 - about 18 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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Identifiers

StateTypeNumberIssuer
All States NPI 1205938677 NPPES
Massachusetts MEDICAID 0342751

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