Individual
AMANDA CATHRYN KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
65558
NM
363L00000X
Nurse Practitioner
RN2265855
MA
363LW0102X
Women's Health Nurse Practitioner
Primary
RN2265855
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110199269A
—
MA
Enumeration date
07/24/2019
Last updated
08/13/2025
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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