Individual
LESLIE R KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
30 LOCUST ST, NORTHAMPTON, MA 01060-2052
(413) 582-2441
Mailing address
30 LOCUST ST, NORTHAMPTON, MA 01060-2052
(413) 582-2441
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
191800-30
WI
363L00000X
Nurse Practitioner
Primary
4902-33
WI
363LF0000X
Family Nurse Practitioner
101-0021171
VT
363LF0000X
Family Nurse Practitioner
238190
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1008712
—
VT
05
—
110102297A
—
MA
01
—
1205946266
BCBSWI
WI
05
—
1205946266
—
WI
01
—
KELLYLES
MERCYCARE INSURANCE
WI
Enumeration date
08/30/2006
Last updated
06/21/2016
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us