Viswanath, Kelley Elizabeth

Viswanath, Kelley Elizabeth is an individual health care provider with primary practice located at 85 High St , Medford MA 02155. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Viswanath, Kelley Elizabeth can be contacted via phone (781) 396-4770.

Contact Information

Primary practice address
85 High St Medford MA 02155
Phone: (781) 396-4770
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X ARNP9389209 Florida

Profile Details

NPI number 1760855936
LBN Legal business name Viswanath, Kelley Elizabeth
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 9th, 2015
Last updated Nov 17th, 2017 - about 8 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.

Request for update

Popular Providers