Doctor Name: | MS. KELLY A PALM |
NPI Number: | 1174923940 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | FNP-C |
License Number: | RN206318 |
Business Practice Address: | 238 Northampton St Easthampton Health Center Easthampton, MA - 010271046 |
Business Phone Number: | 4135299300 |
Business Fax Number: | 4135277517 |
Mailing Address: | 238 Northampton St, Easthampton Health Center EASTHAMPTON |
State: | MA |
Postal Code: | 010271046 |
Phone Number: | 4135299300 |
Fax Number: | 4135277517 |
NPI Enumeration Date: | 08/29/2014 |
NPI Last Update Date: | 08/29/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | RN206318 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |