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Individual

MS. KATHRYN BURKE KELLY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
APRN-BC

Taxonomy

Speciality
Code
Description
License number
State
364SP0808X
Psychiatric/Mental Health Clinical Nurse Specialist
Primary
85454 PC
MA
364SP0810X
Child & Family Psychiatric/Mental Health Clinical Nurse Specialist
85454 PC
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
PN0357
BLUE CROSS BLUE SHIELD
MA
Enumeration date
09/20/2006
Last updated
10/29/2008
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