Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kelly E Farrell

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1003632449

Kelly E Farrell is a Student in an Organized Health Care Education/Training Program in Boston, Massachusetts. Licensed in Georgia. Registered with an NPI since 2024.

Licensed in
GA
In the registry since
2024
Specialties on file
2

Practice location Address checks out

136 Harrison Ave
Boston, MA 02111-1817
Phone: (404) 401-8489
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 13979 (GA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1003632449
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 2, 2024
Last updated in NPPESJune 5, 2026
Certification dateJune 5, 2026

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