Individual
KELLY M ZAKAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
300 LONGWOOD AVE, BOSTON, MA 02115-5724
(603) 620-0284
Mailing address
5 CIDER MILL RD, BROOKLINE, NH 03033-2058
(603) 620-0284
(781) 216-1503
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
RN216232
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
020518021
ONE HEALTH/GREAT WEST
NH
01
—
2375234
AETNA - HMO
NH
01
—
23YP05288NH01
BLUE CROSS & BLUE SHIELD
NH
05
—
30342638
—
NH
01
—
30914
HEALTHSOURCE
NH
01
—
4570918
AETNA - NON HMO
NH
01
—
AA3765
HARVARD PILGRIM
NH
Enumeration date
03/10/2006
Last updated
12/21/2020
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