Active NPIIndividual providerSole proprietor

Katherine Kelly, MA

Counselor in Medford, Massachusetts

NPI Number1154601938
Practice location
151 Mystic Ave, Suite Six, Medford, MA 02155-4632
Fax
781-396-1439
Last updated
August 24, 2011

Katherine Kelly is a Counselor based in Medford, MA. Katherine Kelly practices in Medford, MA and has the professional credentials of MA. The NPI Number for Katherine Kelly is 1154601938. The current practice location address for Katherine Kelly is 151 Mystic Ave, Suite Six, Medford, MA 02155-4632 and can be reached out via phone at 781-396-1199 and via fax at 781-396-1439.

Provider Profile Details

NPI Number
1154601938
Provider Name
Katherine Kelly
Credential
MA
Provider Entity Type
Individual
Gender
Female
Address
151 Mystic Ave, Suite Six, Medford, MA 02155-4632
Phone Number
781-396-1199
Fax Number
781-396-1439
Primary Taxonomy
Counselor · 101Y00000X
Sole Proprietor
Yes
Provider Enumeration Date
August 24, 2011
Last Update Date
August 24, 2011
NPI Status
Active

Provider Business Practice Location Address Details

Address
151 Mystic Ave
Suite Six
Medford, MA 02155-4632
Zip
02155-4632
Phone Number
781-396-1199
Fax Number
781-396-1439
Medford, MA 02155Get directions →

Provider Business Mailing Address Details

Address
151 Mystic Ave
Suite Six
Medford, MA 02155-4632
City
Medford
State
MA
Zip
02155-4632
Phone Number
781-396-1199
Fax Number
781-396-1439

License Information

Taxonomy
Counselor · 101Y00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
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 Katherine Kelly, MA?

The NPI number of Katherine Kelly, MA is 1154601938. It was assigned on August 24, 2011 and is currently active in the NPPES registry.

What is the specialty of Katherine Kelly, MA?

Katherine Kelly, MA is registered under the primary taxonomy Counselor (code 101Y00000X).

Where does Katherine Kelly, MA practice?

The practice location is 151 Mystic Ave, Suite Six, Medford, MA 02155-4632. The office can be reached at 781-396-1199 (phone) or 781-396-1439 (fax).

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 1154601938 directly on the NPPES registry website.

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