Individual
MRS. KELLY M BUCKLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
22 ATWOOD DR, NORTHAMPTON, MA 01060-4267
(413) 584-4547
Mailing address
25 COPLEY TER, PITTSFIELD, MA 01201-6434
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN270478
MA
Other
Enumeration date
11/19/2018
Last updated
03/10/2023
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