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

Ketma Pericles

Individual provider Licensed Practical Nurse · NPI 1760119648

Ketma Pericles is a Licensed Practical Nurse in Cambridge, Massachusetts. Practices as a sole proprietor. Licensed in Massachusetts.

Licensed in
MA
In the registry since
2022

Practice location Address checks out

1493 Cambridge St
Cambridge, MA 02139-1047
Phone: (781) 397-6546
Show map & directions

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

Specialties & licences

Licensed Practical Nurse (primary) Taxonomy 164W00000X · Licence LN69424 (MA)

Record details

NPI number1760119648
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedAugust 2, 2022
Last updated in NPPESAugust 2, 2022
Certification dateAugust 2, 2022
Mailing address36 Tea Party Way, Malden, MA 02148-1980

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