KELSUBY HEALTH & WELLNESS LLC NPI 1790640357

NPI Information

  • NPI: 1790640357
  • Provider Name: KELSUBY HEALTH & WELLNESS, LLC
  • Classification: Clinic/Center - 261QP2300X
  • Specialization: Primary Care
  • Entity Type: Organization
  • Address: 124-126 DEWEY STREET
    1B
    WORCESTER, MA
    ZIP 01610
  • Phone: (774) 345-8205

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NPI Details

KELSUBY HEALTH & WELLNESS, LLC is a primary care clinic center in Worcester, MA. KELSUBY HEALTH & WELLNESS, LLC NPI is 1790640357. The provider is registered as an organization entity type.

The provider's business location address is:

124-126 DEWEY STREET
1B
WORCESTER, MA
ZIP 01610-000
Phone: (774) 345-8205

The provider's authorized official is Rose Marie Nyakako .
The authorized official title is Owner and has the following contact phone number (774) 345-8205.

The enumeration date for this NPI number is 12/17/2025 and was last updated on 12/17/2025.

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
1261QP2300XClinic/CenterPrimary CareYes

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: 11/21/2025

NPI Synchronization or Removal

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