Provencher, Kelly Helen
Provencher, Kelly Helen is an sole proprietor health care provider with primary practice located at 1400 Vfw Pkwy , West Roxbury MA 02132-4927. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Provencher, Kelly Helen can be contacted via phone (617) 323-7700.Contact Information
Primary practice address
1400 Vfw Pkwy
West Roxbury MA 02132-4927
Phone: (617) 323-7700
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | 234648 | Massachusetts |
Profile Details
| NPI number | 1790898252 |
|---|---|
| LBN Legal business name | Provencher, Kelly Helen |
| Credentials | RN,MSN,BC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 17th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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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