Provider Demographics
NPI:1245575695
Name:PRICE, KELLY MARIA (NP)
Entity Type:Individual
Prefix:
First Name:KELLY
Middle Name:MARIA
Last Name:PRICE
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
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Mailing Address - Street 1:20 RESEARCH PL STE 100
Mailing Address - Street 2:
Mailing Address - City:N CHELMSFORD
Mailing Address - State:MA
Mailing Address - Zip Code:01863-2455
Mailing Address - Country:US
Mailing Address - Phone:978-446-9850
Mailing Address - Fax:888-360-9873
Practice Address - Street 1:20 RESEARCH PL STE 100
Practice Address - Street 2:
Practice Address - City:N CHELMSFORD
Practice Address - State:MA
Practice Address - Zip Code:01863-2455
Practice Address - Country:US
Practice Address - Phone:978-446-9850
Practice Address - Fax:888-360-9873
Is Sole Proprietor?:No
Enumeration Date:2012-12-11
Last Update Date:2019-03-27
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MARN270047363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily