Individual
BRITTANY KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP-PC
Contact information
Practice address
360 MERRIMACK ST, BUILDING 9, LAWRENCE, MA 01843-1740
(978) 802-0481
Mailing address
37 RICHARDSON ST UNIT 1, WAKEFIELD, MA 01880-3347
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN2299152
MA
363LP0200X
Pediatric Nurse Practitioner
RN2299152
MA
Other
Enumeration date
08/12/2016
Last updated
02/27/2017
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