Lavine, Kelley
Lavine, Kelley is an individual health care provider with primary practice located at 119 Belmont St , Worcester MA 01605-2903. She recently has 4 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Neonatal, Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, Physician Assistants & Advanced Practice Nursing Providers / Neonatal, Critical Care. Physician Assistants & Advanced Practice Nursing Providers / Neonatal, Critical Care is her primary health care specialty. Lavine, Kelley can be contacted via phone (508) 334-6206.Contact Information
Primary practice address
119 Belmont St
Worcester MA 01605-2903
Phone: (508) 334-6206
Fax: (508) 334-6083
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | RN246110 | Massachusetts |
| Physician Assistants & Advanced Practice Nursing Providers / Neonatal | 363LN0000X | APRN01247 | Rhode Island |
| Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X | CNPP37216 | Rhode Island |
| Physician Assistants & Advanced Practice Nursing Providers / Neonatal, Critical Care | 363LN0005X | RN246110 | Massachusetts |
Profile Details
| NPI number | 1477867455 |
|---|---|
| LBN Legal business name | Lavine, Kelley |
| Credentials | Advanced Practice Registered Nurse (APRN) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 2nd, 2010 |
| Last updated | Mar 30th, 2021 - about 4 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 | 1477867455 | NPPES |
| Massachusetts | MEDICAID | 110127839A |
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