person
Kristopher Kelly, MD
Student in an Organized Health Care Education/Training Program in Worcester, Massachusetts
NPI 1316566565

Kristopher Kelly is a Student in an Organized Health Care Education/Training Program based in Worcester, MA. Kristopher Kelly practices in Worcester, MA and has the professional credentials of MD. The NPI Number for Kristopher Kelly is 1316566565 and holds a License No. (Massachusetts).

The current practice location address for Kristopher Kelly is 55 Lake Ave N, Worcester, MA and can be reached out via phone at 508-334-8015 and via fax at 508-334-8235.

Location: 55 Lake Ave N, Worcester, MA, 01605-2138
person
Provider Profile Details
NPI Number
1316566565
Provider Name
Kristopher Kelly
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
55 Lake Ave N, Worcester, MA, 01605-2138
Phone Number
508-334-8015
Fax Number
508-334-8235
Provider Enumeration Date
04/08/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
55 Lake Ave N
City
State
Zip
01655-0002
Phone Number
508-334-8015
Fax Number
508-334-8235
person
Provider Business Mailing Address Details
Address
55 Lake Ave N
City
State
Zip
01655-0002
Phone Number
508-334-8015
Fax Number
508-334-8235
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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