Kelly Elizabeth Adams

Individual provider Active NPI Licensed Practical Nurse · Auburndale, MA

NPI 1194995233 · NPPES record last updated Mar 5, 2008

Key facts

NPI
1194995233
Entity type
Individual (NPI type 1)
Primary specialty
Licensed Practical Nurse 164W00000X
License
69006 (MA)
Practice address
256 Webster St
Apt #2
Auburndale, MA 02466-2106
Phone
(513) 460-8846
NPI assigned
Mar 5, 2008
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
69006MAMDLicensed Practical Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 69006 MA Yes

Addresses

Primary practice location

256 Webster St
Apt #2
Auburndale, MA 02466-2106

Mailing address

256 Webster St
Apt #2
Auburndale, MA 02466-2106
Phone (513) 460-8846

Other providers in Auburndale, MA

All providers in Auburndale, MA · Licensed Practical Nurse in Massachusetts

Sources for this page

Verify at the official NPI Registry.