Individual provider · NPI-1

Lisa Kelley, CNM

Advanced Practice Midwife · Manchester, CT

NPI number1497214043
StatusActive
Last updated in NPPESJun 12, 2026

Details

NPI
1497214043
Entity type
Individual (NPI-1)
Name
Lisa Kelley
Credential
CNM
Sex
Female
Sole proprietor
No
Enumeration date
Mar 13, 2019
Certification date
Jun 12, 2026
Last updated
Jun 12, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
367A00000X Advanced Practice Midwife551CTYes
367A00000X Advanced Practice MidwifeRN2329969MA

Practice location

192 E Center St
Manchester, CT 06040-5210

Phone 888-607-0046

Mailing address

63 Main St
Brockton, MA 02301-4042

Other practice locations

119 Belmont St
Worcester, MA 01605-2903

Phone 508-334-0550

63 Main St
Brockton, MA 02301-4042

Phone 508-559-6699

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