Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARY ANN HETTICH-KELLY, APRN CNS PSYCH
ActiveMARY ANN HETTICH-KELLY, APRN CNS PSYCH is a 364SP0812X healthcare provider located in HYANNIS, Massachusetts. NPI 1790810257 is currently active in the NPPES registry. Verify at CMS.
364SP0812X · HYANNIS, MA
Registration Details
- NPI Number
- 1790810257
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 23, 2007 (19.453327703298 yrs)
- Last Updated
- Oct 7, 2025
- Licenses
-
197116 (MA)197116 (MA)
Practice Information
- Address
-
259 NORTH ST # AHYANNIS, MA, 026013834Browse MA providers · Browse ZIP 02601
- Phone
- 5088620514
- Fax
- 5088620514
- Primary Specialty
-
364SP0812X
364SP0812X
- Additional Specialty
- 364SP0812X
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.