Kelly Collaborative Care, INC
Counselor, Professional in Dennis, Massachusetts
1124349998- Practice location
- 616 Route 6A, Dennis, MA 02638-1906
- Phone
- 773-487-7647
- Fax
- —
- Last updated
- December 13, 2010
Kelly Collaborative Care, INC is a healthcare organization based in Dennis, MA. Kelly Collaborative Care, INC practices in Dennis, MA. The NPI Number for Kelly Collaborative Care, INC is 1124349998 and holds a License No. 197116 (MA). The current practice location address for Kelly Collaborative Care, INC is 616 Route 6A, Dennis, MA 02638-1906 and can be reached out via phone at 773-487-7647.
Provider Profile Details
- NPI Number
- 1124349998
- Provider Name
- Kelly Collaborative Care, INC
- Provider Entity Type
- Organization
- Address
- 616 Route 6A, Dennis, MA 02638-1906
- Phone Number
- 773-487-7647
- Primary Taxonomy
- Counselor, Professional · 101YP2500X
- Organization Subpart
- No
- Authorized Official
- Mary Hettich-Kelly, FNP-BC, RNCS · Owner · 774-487-7647
- Provider Enumeration Date
- June 16, 2010
- Last Update Date
- December 13, 2010
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 616 Route 6A
Dennis, MA 02638-1906 - City
- Dennis
- State
- Massachusetts
- Zip
- 02638-1906
- Phone Number
- 773-487-7647
Provider Business Mailing Address Details
- Address
- 180 Old Red Top RD
Brewster, MA 02631-2370 - City
- Brewster
- State
- MA
- Zip
- 02631-2370
- Phone Number
- 774-487-7647
License Information
- License Number
- 197116
- License State
- MA
- Taxonomy
- Counselor, Professional · 101YP2500X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Kelly Collaborative Care, INC?
The NPI number of Kelly Collaborative Care, INC is 1124349998. It was assigned on June 16, 2010 and is currently active in the NPPES registry.
What is the specialty of Kelly Collaborative Care, INC?
Kelly Collaborative Care, INC is registered under the primary taxonomy Counselor, Professional (code 101YP2500X), licensed in MA under license number 197116.
Where does Kelly Collaborative Care, INC practice?
The practice location is 616 Route 6A, Dennis, MA 02638-1906. The office can be reached at 773-487-7647 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1124349998 directly on the NPPES registry website.