Individual
YELENA G KISEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
100 MLK JR BLVD, WORCESTER, MA 01608-1209
(508) 754-3823
(508) 753-0151
Mailing address
100 MLK JR BLVD, WORCESTER, MA 01608-1209
(508) 754-3823
(508) 753-0151
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
252265
MA
Other
Enumeration date
09/23/2009
Last updated
09/23/2009
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