Travers, Kelley J

Travers, Kelley J is an individual health care provider with primary practice located at 55 Fogg Rd , Weymouth MA 02190-2432. 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. Travers, Kelley J can be contacted via phone (781) 624-8000.

Contact Information

Primary practice address
55 Fogg Rd Weymouth MA 02190-2432
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 252116 Massachusetts

Profile Details

NPI number 1144252354
LBN Legal business name Travers, Kelley J
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2006
Last updated Feb 21st, 2024 - about 9 months 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 1144252354 NPPES
Massachusetts MEDICAID 0799815

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