Provider Demographics
NPI:1558163766
Name:SZEWCZYNSKI, KELLY ELLEN (NP)
Entity type:Individual
Prefix:MRS
First Name:KELLY
Middle Name:ELLEN
Last Name:SZEWCZYNSKI
Suffix:
Gender:
Credentials:NP
Other - Prefix:
Other - First Name:KELLY
Other - Middle Name:ELLEN
Other - Last Name:BROGAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:37 CRESCENT RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:WESTFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01085-4000
Mailing Address - Country:US
Mailing Address - Phone:508-400-1034
Mailing Address - Fax:
Practice Address - Street 1:30 LOCUST ST
Practice Address - Street 2:
Practice Address - City:NORTHAMPTON
Practice Address - State:MA
Practice Address - Zip Code:01060-2093
Practice Address - Country:US
Practice Address - Phone:413-582-2184
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-26
Last Update Date:2025-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MARN2286739363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily