Individual provider · Type 1 NPI

Carissa M. Kelly, CNP

Adult Health Nurse Practitioner · Canton, MA

NPI number 1821307646 Active

Practice location

45 Dan Rd
Canton, MA 02021-2852

Fax (630) 376-7615

Mailing address

22 Fales Rd
Sharon, MA 02067-1086

Other practice locations

  • 128 Chestnut St Ste 303A2, Philadelphia, PA 19106-3024 · (949) 484-9517
  • 701 N Green Valley Pkwy Ste 213, Henderson, NV 89074-6177 · (949) 484-9517
  • 1980 E 116th St Ste 315, Carmel, IN 46032-3517 · (949) 484-9517
  • 122 Delaware Street STEF-5, New Castle, DE 19720-4814 · (949) 484-9517
  • 455 Toll Gate Rd, Warwick, RI 02886-2759 · (401) 737-7010
  • 635 Main St Ste 206A, Klamath Falls, OR 97601-6007 · (949) 484-9517
  • 1094 Killingly Commons Dr, Dayville, CT 06241-2187 · (727) 601-4513

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner 363L00000XCNP211393 (ME)
Adult Health Nurse Practitioner 363LA2200XRN276785 (MA)
Adult Health Nurse Practitioner 363LA2200XAPRN02561 (RI)
Adult Health Nurse Practitioner 363LA2200X084141-23 (NH)
Adult Health Nurse Practitioner 363LA2200X4704397659 (MI)
Adult Health Nurse Practitioner 363LA2200XAPRN11021654 (FL)
Adult Health Nurse Practitioner 363LA2200X7947 (CT)
Adult Health Nurse Practitioner Primary 363LA2200XF311018-01 (NY)

Adult Health Nurse Practitioner: Definition to come...

12 other providers at this address

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About NPI 1821307646

Carissa M. Kelly, CNP's National Provider Identifier is 1821307646, issued on Sep 28, 2010. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Canton, MA. The record was last updated on Jun 27, 2025.