Individual
KETTELYNE GILLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
100 CUMMINGS CENTER SUITE 344F, BEVERLY, MA 01915
(857) 415-6439
(888) 776-1247
Mailing address
460 MYSTIC AVE UNIT 402, SOMERVILLE, MA 02145-1721
Taxonomy
Speciality
Code
Description
License number
State
163WP2201X
Ambulatory Care Registered Nurse
Primary
RN2286201
MA
Other
Enumeration date
09/21/2016
Last updated
10/26/2022
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