Kelly Tull, WHNP
Nurse Practitioner, Women's Health in Fiskdale, Massachusetts
1306398409- Practice location
- 22 North Dr, Fiskdale, MA 01518-1161
- Phone
- 812-236-7743
- Fax
- —
- Last updated
- August 6, 2025
Kelly Tull is a Nurse Practitioner, Women's Health based in Fiskdale, MA. Kelly Tull practices in Fiskdale, MA and has the professional credentials of WHNP. The NPI Number for Kelly Tull is 1306398409 and holds a License No. 7658 (CT). The current practice location address for Kelly Tull is 22 North Dr, Fiskdale, MA 01518-1161 and can be reached out via phone at 812-236-7743.
Provider Profile Details
- NPI Number
- 1306398409
- Provider Name
- Kelly Tull
- Credential
- WHNP
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 22 North Dr, Fiskdale, MA 01518-1161
- Phone Number
- 812-236-7743
- Primary Taxonomy
- Nurse Practitioner, Women's Health · 363LW0102X
- Sole Proprietor
- No
- Provider Enumeration Date
- October 25, 2016
- Last Update Date
- August 6, 2025
- Certification Date
- August 6, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 22 North Dr
Fiskdale, MA 01518-1161 - City
- Fiskdale
- State
- Massachusetts
- Zip
- 01518-1161
- Phone Number
- 812-236-7743
Provider Business Mailing Address Details
- Address
- 22 North Dr
Fiskdale, MA 01518-1161 - City
- Fiskdale
- State
- MA
- Zip
- 01518-1161
- Phone Number
- 812-236-7743
License Information
- License Number (1)
- 7658
- License State (1)
- CT
- Taxonomy (1)
- Nurse Practitioner, Women's Health · 363LW0102X
- License Number (2)
- 28185781A
- License State (2)
- IN
- Taxonomy (2)
- Nurse Practitioner, Women's Health · 363LW0102X
- License Number (3)
- RN2323729
- License State (3)
- MA
- Taxonomy (3)
- Nurse Practitioner, Women's Health · 363LW0102X · 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 Tull, WHNP?
The NPI number of Kelly Tull, WHNP is 1306398409. It was assigned on October 25, 2016 and is currently active in the NPPES registry.
What is the specialty of Kelly Tull, WHNP?
Kelly Tull, WHNP is registered under the primary taxonomy Nurse Practitioner, Women's Health (code 363LW0102X), licensed in CT under license number 7658.
Where does Kelly Tull, WHNP practice?
The practice location is 22 North Dr, Fiskdale, MA 01518-1161. The office can be reached at 812-236-7743 (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 1306398409 directly on the NPPES registry website.