Individual
MRS. KELLY GILLETTE MEKERIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPN, PNP-BC, MSN
Contact information
Practice address
300 LONGWOOD AVE, CHILDREN'S HOSPITAL BOSTON -- GENERAL SURGERY, BOSTON, MA 02115-5724
(617) 355-8017
Mailing address
300 LONGWOOD AVE, BOSTON, MA 02115-5724
(617) 355-6000
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
268060
MA
363LP0200X
Pediatric Nurse Practitioner
9179151
FL
Other
Enumeration date
05/10/2008
Last updated
06/25/2019
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