SANDRA MACKAY KELLY NP NPI 1669410494

NPI Information

NPI: 1669410494
Provider Name: SANDRA MACKAY KELLY, NP
Classification: Nurse Practitioner - 363LA2200X
Entity Type: Individual

Specialization: Adult Health

Address:
41 MONTVALE AVE
STONEHAM, MA
ZIP 02180
Phone: (781) 224-5877
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Sandra Mackay Kelly, NP is an adult health nurse practitioner in Stoneham, MA. Sandra Mackay Kelly, NP NPI is 1669410494. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

41 MONTVALE AVE
STONEHAM, MA
ZIP 02180-445
Phone: (781) 224-5877
Fax: (781) 224-5817

The enumeration date for this NPI number is 6/3/2006 and was last updated on 2/20/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LA2200X	Nurse Practitioner	Adult Health	124263	MASSACHUSETTS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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