Czworka, Kelly

Czworka, Kelly is an individual health care provider with primary practice located at 323 Lowell St , Andover MA 01810-4501. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Czworka, Kelly can be contacted via phone (978) 783-5000.

Contact Information

Primary practice address
323 Lowell St Andover MA 01810-4501
Phone: (978) 783-5000
Fax: (978) 313-8184
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 264560 Massachusetts

Profile Details

NPI number 1104984251
LBN Legal business name Czworka, Kelly
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 4th, 2006
Last updated Oct 20th, 2016 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1104984251 NPPES
Massachusetts Other NP5614 BLUE CROSS BLUE SHIELD

Popular Providers