Kettyle, Elizabeth Pressly

Kettyle, Elizabeth Pressly is an individual health care provider with primary practice located at 10 Gove Street East Boston Neighborhood Health Center, East Boston MA 02128. 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. Kettyle, Elizabeth Pressly can be contacted via phone (617) 569-5800.

Contact Information

Primary practice address
10 Gove Street East Boston Neighborhood Health Center East Boston MA 02128
Phone: (617) 569-5800
Fax: (617) 568-4780
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X RN240561 Massachusetts

Profile Details

NPI number 1780735613
LBN Legal business name Kettyle, Elizabeth Pressly
Credentials Certified Nurse Midwife (CNM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 16th, 2007
Last updated May 17th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1780735613 NPPES
Massachusetts MEDICAID 0340570
Massachusetts Other 1910257-001
Massachusetts Other CN0240
Massachusetts Other 5715344
Massachusetts Other HV0044

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