Active NPIIndividual provider

Kelly Hogan

Registered Nurse, Community Health in Dorchester, Massachusetts

NPI Number1578161097
Practice location
632 Blue Hill Ave, Dorchester, MA 02121-3213
Fax
—
Last updated
October 16, 2020

Kelly Hogan is a Registered Nurse, Community Health based in Dorchester, MA. Kelly Hogan practices in Dorchester, MA. The NPI Number for Kelly Hogan is 1578161097 and holds a License No. RN2341139 (MA). The current practice location address for Kelly Hogan is 632 Blue Hill Ave, Dorchester, MA 02121-3213 and can be reached out via phone at 617-825-3400.

Provider Profile Details

NPI Number
1578161097
Provider Name
Kelly Hogan
Provider Entity Type
Individual
Gender
Female
Address
632 Blue Hill Ave, Dorchester, MA 02121-3213
Phone Number
617-825-3400
Primary Taxonomy
Registered Nurse, Community Health · 163WC1500X
Sole Proprietor
No
Provider Enumeration Date
October 16, 2020
Last Update Date
October 16, 2020
Certification Date
October 14, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
632 Blue Hill Ave
Dorchester, MA 02121-3213
Zip
02121-3213
Phone Number
617-825-3400
Dorchester, MA 02121Get directions →

Provider Business Mailing Address Details

Address
5 Stock St Apt 2
Dorchester, MA 02122-2672
City
Dorchester
State
MA
Zip
02122-2672
Phone Number
617-943-1169

License Information

License Number
RN2341139
License State
MA
Taxonomy
Registered Nurse, Community Health · 163WC1500X · 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 Kelly Hogan?

The NPI number of Kelly Hogan is 1578161097. It was assigned on October 16, 2020 and is currently active in the NPPES registry.

What is the specialty of Kelly Hogan?

Kelly Hogan is registered under the primary taxonomy Registered Nurse, Community Health (code 163WC1500X), licensed in MA under license number RN2341139.

Where does Kelly Hogan practice?

The practice location is 632 Blue Hill Ave, Dorchester, MA 02121-3213. The office can be reached at 617-825-3400 (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 1578161097 directly on the NPPES registry website.

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