Decalogero, Kellie Marie

Decalogero, Kellie Marie is an individual health care provider with primary practice located at 41 Mall Road 41 Mall Road, Burlington MA 01805. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Acute Care, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Decalogero, Kellie Marie can be contacted via phone (781) 744-8000.

Contact Information

Primary practice address
41 Mall Road 41 Mall Road Burlington MA 01805
Phone: (781) 744-8000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X # 055508-23 New Hampshire
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X RN2680606 Massachusetts

Profile Details

NPI number 1437588803
LBN Legal business name Decalogero, Kellie Marie
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 6th, 2013
Last updated Aug 11th, 2021 - about 3 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.

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