Individual
IVY HUANG KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C, RN
Contact information
Practice address
266 NEW STATE HWY, RAYNHAM, MA 02767-5446
(508) 824-1361
Mailing address
115 BEACH ST, WRENTHAM, MA 02093-1540
(626) 202-2482
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN2321978
MA
363LF0000X
Family Nurse Practitioner
Primary
RN2321978
MA
Other
Enumeration date
07/20/2020
Last updated
10/05/2022
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