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
Health care specialties
| Specialty | Code | License # | 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 9 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| 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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