Provider Demographics
NPI:1013358738
Name:HYLTON, KERRY ELENE (RN)
Entity Type:Individual
Prefix:
First Name:KERRY
Middle Name:ELENE
Last Name:HYLTON
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13 THAYER ST
Mailing Address - Street 2:
Mailing Address - City:WORCESTER
Mailing Address - State:MA
Mailing Address - Zip Code:01603-2530
Mailing Address - Country:US
Mailing Address - Phone:508-756-1668
Mailing Address - Fax:
Practice Address - Street 1:13 THAYER ST
Practice Address - Street 2:
Practice Address - City:WORCESTER
Practice Address - State:MA
Practice Address - Zip Code:01603-2530
Practice Address - Country:US
Practice Address - Phone:508-756-1668
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-07-10
Last Update Date:2013-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2281869163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse