Rebecca Kelly, FNP-C
Nurse Practitioner, Family in Boston, MA. Individual provider (NPI-1).
NPI number1255700993
StatusActive
Last updated in NPPESNov 25, 2015
Details
- NPI
- 1255700993
- Entity type
- Individual (NPI-1)
- Name
- Rebecca Kelly
- Credential
- FNP-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 23, 2015
- Last updated
- Nov 25, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | RN2304167 | MA | Yes |
| 163W00000X | Registered Nurse | RN2304167 | MA |
Practice location
20 Bradston StBoston, MA 02118-2705
Phone 617-635-1000
Mailing address
20 Bradston StBoston, MA 02118-2705
Phone 617-635-1000
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