# MRS. KELLY GILLETTE MEKERIAN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1801063797
- **Gender:** F
- **Credential:** CPN, PNP-BC, MSN

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0200X | Pediatric Nurse Practitioner | 268060 | MA | Yes |
| 363LP0200X | Pediatric Nurse Practitioner | 9179151 | FL | — |

## Other

- **Enumeration date:** 05/10/2008
- **Last updated:** 06/25/2019