Kellie St Martin
Kellie St Martin is a Nurse Practitioner in Boston, Massachusetts. Qualified in 2019, 7 years ago. Practices with Uphams Corner Health Committee Inc, a 27-clinician group and accepts Medicare assignment. Licensed in Massachusetts.
- Years since qualifying
- 7
- Licensed in
- MA
- In the registry since
- 2020
Practice location Address checks out
415 Columbia RdBoston, MA 02125-2424
Phone: (617) 287-8000
Fax: (617) 287-1500
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Adult Health Nurse Practitioner (primary) | Taxonomy 363LA2200X · Licence 2295376 (MA) |
|---|
Record details
| NPI number | 1598305807 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | January 14, 2020 |
| Last updated in NPPES | June 27, 2023 |
| Certification date | May 9, 2022 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2019 (7 years in practice) |
| Group practice | Uphams Corner Health Committee Inc — 27 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
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