Provider Demographics
NPI:1336682509
Name:OSTROWSKI, KELLY ANN (CNM)
Entity Type:Individual
Prefix:
First Name:KELLY
Middle Name:ANN
Last Name:OSTROWSKI
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:73 PITTROFF AVE
Mailing Address - Street 2:
Mailing Address - City:SOUTH HADLEY
Mailing Address - State:MA
Mailing Address - Zip Code:01075-2203
Mailing Address - Country:US
Mailing Address - Phone:614-329-9798
Mailing Address - Fax:
Practice Address - Street 1:73 PITTROFF AVE
Practice Address - Street 2:
Practice Address - City:SOUTH HADLEY
Practice Address - State:MA
Practice Address - Zip Code:01075-2203
Practice Address - Country:US
Practice Address - Phone:614-329-9798
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-11-21
Last Update Date:2022-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MARN2331866367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife