Individual
MRS. KELLY M. MANCHESTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
385 SOUTHBRIDGE ST, AUBURN, MA 01501-2498
(508) 721-1170
(508) 832-0859
Mailing address
5 NEPONSET ST FL ST2, WORCESTER, MA 01606-2714
(508) 721-1170
(508) 832-0859
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
NP 15534
CA
363LP2300X
Primary Care Nurse Practitioner
Primary
RN 243175
MA
Other
Enumeration date
05/10/2007
Last updated
03/13/2019
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