Individual
KRISTIN SKELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
84 STATE ST, BOSTON, MA 02109-2202
(646) 876-8455
(833) 314-0246
Mailing address
228 PARK AVE S STE 16389, NEW YORK, NY 10003-1502
(646) 876-8455
(833) 314-0246
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
APRN01401
RI
363LG0600X
Gerontology Nurse Practitioner
Primary
RN225032
MA
363LG0600X
Gerontology Nurse Practitioner
TPAN2755
FL
363LG0600X
Gerontology Nurse Practitioner
TPAN2755
TX
Other
Enumeration date
07/22/2016
Last updated
04/24/2025
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