Krystine Kelley (NPI# 1245774728, PAC ID# 1355624172) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1245774728 |
| PAC ID by PECOS | 1355624172 |
| Professional Enrollment ID | I20170201001799 |
| Full Name | Krystine Kelley |
| Organization Legal Name | SIGNATURE HEALTHCARE MEDICAL GROUP INC |
| Address |
430 Liberty St Suite 7 Hanson MA 02341-1113 |
| Phone Number | 7812933838 |
| Gender | F |
| Graduation Year | 2016 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 7719876267 |
| Number of Group Practice Members | 213 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 220052 | SIGNATURE HEALTHCARE BROCKTON HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 430 Liberty St, Suite 7, Hanson, MA 02341-1113 | 7812933838 | SIGNATURE HEALTHCARE MEDICAL GROUP INC |
| Organization Legal Name | SIGNATURE HEALTHCARE MEDICAL GROUP INC |
| Physicians | 217 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sharmila Srinivasan | Ophthalmology | Signature Healthcare Medical Group Inc | 179 Quincy St, Suite 3, Brockton, MA 02302-2966 |
| Sarah Bremer | Physician Assistant | Signature Healthcare Medical Group Inc | 130 Quincy Ave, Brockton, MA 02302-2803 |
| Stanley F Gould | Obstetrics/gynecology | Signature Healthcare Medical Group Inc | 505 Bedford St, Bridgewater, MA 02324-3117 |
| Kateri I Mccarthy | Family Medicine | Signature Healthcare Medical Group Inc | 545 Bedford St, Bridgewater, MA 02324-3117 |
| Kristina M Anderson | Nurse Practitioner | Signature Healthcare Medical Group Inc | 110 Liberty St, Brockton, MA 02301-5521 |
| Marc Scott Spiegel | Podiatry | Signature Healthcare Medical Group Inc | 1215 Broadway, Raynham, MA 02767-1942 |
| Haroon Zubair | Internal Medicine | Signature Healthcare Medical Group Inc | 650 Centre St, Brockton, MA 02302-3308 |
| George W Lovett | Dermatology | Signature Healthcare Medical Group Inc | 1300 Belmont St, Brockton, MA 02301-4433 |
| Tutasi K Waters | Obstetrics/gynecology | Signature Healthcare Medical Group Inc | 31 Roche Brothers Way, North Easton, MA 02356-1032 |
| Deborah B Abeles | General Surgery | Signature Healthcare Medical Group Inc | 178 Quincy Ave, Brockton, MA 02302-2803 |
| Street Address |
430 LIBERTY ST SUITE 7 |
| City | HANSON |
| State | MA |
| Zip | 02341-1113 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Dawn M Folan | Nurse Practitioner | Signature Healthcare Medical Group Inc | 430 Liberty St, Suite 7, Hanson, MA 02341-1113 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robert T Gerhard | Chiropractic | 381 Liberty St, Hanson, MA 02341-1166 |
| City | HANSON |
| Zip Code | 02341 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | HANSON + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Krystine Kelley.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.