Active NPIIndividual provider

Ivy H Kelly, FNP-C, RN

Nurse Practitioner, Family in Raynham, Massachusetts

NPI Number1326656950
Practice location
266 New State Hwy, Raynham, MA 02767-5446
Fax
—
Last updated
October 5, 2022

Ivy Huang Kelly is a Nurse Practitioner, Family based in Raynham, MA. Ivy Huang Kelly practices in Raynham, MA and has the professional credentials of FNP-C, RN. The NPI Number for Ivy Huang Kelly is 1326656950 and holds a License No. RN2321978 (MA). The current practice location address for Ivy Huang Kelly is 266 New State Hwy, Raynham, MA 02767-5446 and can be reached out via phone at 508-824-1361.

Provider Profile Details

NPI Number
1326656950
Provider Name
Ivy Huang Kelly
Credential
FNP-C, RN
Provider Entity Type
Individual
Gender
Female
Address
266 New State Hwy, Raynham, MA 02767-5446
Phone Number
508-824-1361
Primary Taxonomy
Nurse Practitioner, Family · 363LF0000X
Sole Proprietor
No
Provider Enumeration Date
July 20, 2020
Last Update Date
October 5, 2022
Certification Date
September 18, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
266 New State Hwy
Raynham, MA 02767-5446
Zip
02767-5446
Phone Number
508-824-1361
Raynham, MA 02767Get directions →

Provider Business Mailing Address Details

Address
115 Beach St
Wrentham, MA 02093-1540
City
Wrentham
State
MA
Zip
02093-1540
Phone Number
626-202-2482

License Information

License Number (1)
RN2321978
License State (1)
MA
Taxonomy (1)
Registered Nurse · 163W00000X
License Number (2)
RN2321978
License State (2)
MA
Taxonomy (2)
Nurse Practitioner, Family · 363LF0000X · 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 Ivy H Kelly, FNP-C, RN?

The NPI number of Ivy H Kelly, FNP-C, RN is 1326656950. It was assigned on July 20, 2020 and is currently active in the NPPES registry.

What is the specialty of Ivy H Kelly, FNP-C, RN?

Ivy H Kelly, FNP-C, RN is registered under the primary taxonomy Nurse Practitioner, Family (code 363LF0000X), licensed in MA under license number RN2321978.

Where does Ivy H Kelly, FNP-C, RN practice?

The practice location is 266 New State Hwy, Raynham, MA 02767-5446. The office can be reached at 508-824-1361 (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 1326656950 directly on the NPPES registry website.

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