Christina Louise Kelley

Individual provider Active NPI Wound Care Registered Nurse · Cotuit, MA

NPI 1467048488 · NPPES record last updated Dec 14, 2020

Key facts

NPI
1467048488
Entity type
Individual (NPI type 1)
Primary specialty
Wound Care Registered Nurse 163WW0000X
License
2277282 (MA)
Practice address
31A Keela Rd
Cotuit, MA 02635-3537
Phone
(774) 238-8386
Fax
(508) 534-1417
NPI assigned
Dec 14, 2020
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

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
2277282MAMDWound Care Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Healing Hands Wound Care LLC Current
since Dec 22, 2020
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Wound Care Registered Nurse 163WW0000X 2277282 MA Yes

Addresses

Primary practice location

31A Keela Rd
Cotuit, MA 02635-3537

Mailing address

31A Keela Rd
Cotuit, MA 02635-3537
Phone (774) 238-8386

Other providers in Cotuit, MA

All providers in Cotuit, MA · Wound Care Registered Nurse in Massachusetts

Sources for this page

Verify at the official NPI Registry.