Individual provider · Type 1 NPI

Trenton Tyler Kellock, MD

Student in an Organized Health Care Education/Training Program · Boston, MA

NPI number 1154811800 Active · reactivated Jan 15, 2019

Practice location

75 Francis St., Msk Fellowship, Dept. Of Radiology, RA-3, Brigham & Wom
Boston, MA 02115

Call (617) 732-6266 Map

Fax (978) 352-9015

Mailing address

Women's Hospital Department Of Radiology, 75 Francis St, Attn Dr Tenton Kellock
Boston, MA 02115

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1154811800

Trenton Tyler Kellock, MD's National Provider Identifier is 1154811800, issued on May 17, 2018. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Boston, MA. The record was last updated on Jan 15, 2019.