Kelly, Leslie R

Kelly, Leslie R is an individual health care provider with primary practice located at 30 Locust St , Northampton MA 01060-2052. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Nursing Service Providers / Registered Nurse. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Kelly, Leslie R can be contacted via phone (413) 582-2441.

Contact Information

Primary practice address
30 Locust St Northampton MA 01060-2052
Phone: (413) 582-2441
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 101-0021171 Vermont
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 4902-33 Wisconsin
Nursing Service Providers / Registered Nurse 163W00000X 191800-30 Wisconsin
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 238190 Massachusetts

Profile Details

NPI number 1205946266
LBN Legal business name Kelly, Leslie R
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2006
Last updated Jun 21st, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1205946266 NPPES
Wisconsin Other KELLYLES MERCYCARE INSURANCE
Wisconsin MEDICAID 1205946266 MERCYCARE INSURANCE
Wisconsin MEDICAID 110102297A MERCYCARE INSURANCE
Wisconsin MEDICAID 1008712 MERCYCARE INSURANCE
Wisconsin Other 1205946266 MERCYCARE INSURANCE

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