Kelley, Lisa

Kelley, Lisa is an individual health care provider with primary practice located at 63 Main St , Brockton MA 02301-4042. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Kelley, Lisa can be contacted via phone (508) 559-6699.

Contact Information

Primary practice address
63 Main St Brockton MA 02301-4042
Phone: (508) 559-6699
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X RN2329969 Massachusetts

Profile Details

NPI number 1497214043
LBN Legal business name Kelley, Lisa
Credentials Certified Nurse Midwife (CNM)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 13th, 2019
Last updated Jul 8th, 2022 - 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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