Individual provider · Type 1 NPI
Kettelyne Gilles
Ambulatory Care Registered Nurse · Beverly, MA
NPI number
1073061883
Active
Practice location
100 Cummings Center Suite 344F
Beverly, MA 01915
Fax (888) 776-1247
Mailing address
460 Mystic Ave Unit 402
Somerville, MA 02145-1721
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Ambulatory Care Registered Nurse Primary | 163WP2201X | RN2286201 (MA) |
Ambulatory Care Registered Nurse: Definition to come...
About NPI 1073061883
Kettelyne Gilles's National Provider Identifier is 1073061883, issued on Sep 21, 2016. The primary taxonomy on file is Ambulatory Care Registered Nurse (163WP2201X), and the practice location is in Beverly, MA. The record was last updated on Oct 26, 2022.