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Individual

KELLY L HARGETT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PMHNP-BC

Contact information

Practice address
1385 LAKEVIEW AVENUE, DRACUT, MA 01826-3414
(978) 545-1442
(978) 545-1552
Mailing address
18 SINGLEFOOT RD, CHELMSFORD, MA 01824-1926
(978) 545-1442
(978) 545-1552

Taxonomy

Speciality
Code
Description
License number
State
364S00000X
Clinical Nurse Specialist
Primary
258985
MA
364SP0807X
Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist
258985
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0703648
MA
01
AA17334
HARVARD PILGRIM
MA
01
NP9680
BLUE CROSS
MA
Enumeration date
02/15/2006
Last updated
07/19/2024
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