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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KETTELYNE GILLES

Active

KETTELYNE GILLES is a Psychiatric/Mental Health Nurse Practitioner healthcare provider located in BEVERLY, Massachusetts. NPI 1073061883 is currently active in the NPPES registry. Verify at CMS.

Psychiatric/Mental Health Nurse Practitioner · BEVERLY, MA

Registration Details

NPI Number
1073061883
Provider Type
Individual
Gender
Female
NPI Issued
Sep 21, 2016 (9.9373336183177 yrs)
Last Updated
Oct 26, 2022
License
RN2286201 (MA)

Practice Information

Address
100 CUMMINGS CENTER SUITE 344F
BEVERLY, MA, 01915
Browse MA providers · Browse ZIP 01915
Phone
8574156439
Fax
8887761247
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.