Individual provider · Type 1 NPI

Kathleen Kelly, NP

Nurse Practitioner · Boston, MA

NPI number 1811062839 Active

Practice location

55 Fruit Street Yaw 4B
Boston, MA 02114-2696

Mailing address

PO Box 9142, Mass General Physicians Organization Inc
Charlestown, MA 02129-9142

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X186466 (MA)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1811062839

Kathleen Kelly, NP's National Provider Identifier is 1811062839, issued on Nov 22, 2006. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Boston, MA. The record was last updated on Jul 8, 2007.