Hargett, Kelly L
Hargett, Kelly L is an individual health care provider with primary practice located at 1385 Lakeview Avenue , Dracut MA 01826-3414. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Clinical Nurse Specialist, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Child & Adolescent. Physician Assistants & Advanced Practice Nursing Providers / Clinical Nurse Specialist is her primary health care specialty. Hargett, Kelly L can be contacted via phone (978) 545-1442.Contact Information
Primary practice address
1385 Lakeview Avenue
Dracut MA 01826-3414
Phone: (978) 545-1442
Fax: (978) 545-1552
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Clinical Nurse Specialist | 364S00000X | 258985 | Massachusetts |
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Child & Adolescent | 364SP0807X | 258985 | Massachusetts |
Profile Details
NPI number | 1487628566 |
---|---|
LBN Legal business name | Hargett, Kelly L |
Credentials | PMHNP-BC |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Feb 15th, 2006 |
Last updated | Jul 19th, 2024 - about last year |
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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1487628566 | NPPES |
Massachusetts | MEDICAID | 0703648 | |
Massachusetts | Other | AA17334 | |
Massachusetts | Other | NP9680 |
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