Individual provider · Type 1 NPI

Kelly Anne Mamelson, MD

Student in an Organized Health Care Education/Training Program · Lebanon, NH

NPI number 1265006589 Active

Practice location

1 Medical Center Dr
Lebanon, NH 03756-0001

Call (603) 650-5000 Map

Specialties and licenses

TaxonomyCodeLicense
Obstetrics & Gynecology Physician 207V00000X32855 (FL)
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 1265006589

Kelly Anne Mamelson, MD's National Provider Identifier is 1265006589, issued on May 20, 2021. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Lebanon, NH. The record was last updated on Apr 1, 2025.