Provider Demographics
NPI:1073291076
Name:KELL, LOU-ELLEN (RN)
Entity Type:Individual
Prefix:
First Name:LOU-ELLEN
Middle Name:
Last Name:KELL
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 1:5 STANLEY RD
Mailing Address - Street 2:
Mailing Address - City:SHREWSBURY
Mailing Address - State:MA
Mailing Address - Zip Code:01545-3748
Mailing Address - Country:US
Mailing Address - Phone:508-380-8158
Mailing Address - Fax:
Practice Address - Street 1:5 STANLEY RD
Practice Address - Street 2:
Practice Address - City:SHREWSBURY
Practice Address - State:MA
Practice Address - Zip Code:01545-3748
Practice Address - Country:US
Practice Address - Phone:508-380-8158
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-07-10
Last Update Date:2023-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MARN2263976163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health