Individual
KELLY MALONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
366 KING ST, NORTHAMPTON, MA 01060-2333
(413) 586-8315
Mailing address
137 ELM ST, NORTHAMPTON, MA 01060-2941
(917) 449-8811
Taxonomy
Speciality
Code
Description
License number
State
163WN0800X
Neuroscience Registered Nurse
22658687
NY
163WN0800X
Neuroscience Registered Nurse
RN2312500
MA
363LF0000X
Family Nurse Practitioner
Primary
RN2312500
MA
Other
Enumeration date
09/25/2016
Last updated
04/10/2018
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