Dr MARY A HETTICH KELLY is a female medical professional, specializing in Nurse Practitioner. She graduated in 1999 from University Of Massachusetts Medical School.
COMMUNITY HEALTH CENTER OF CAPE COD INC.
123 WATERHOUSE RD
BOURNE
MA
025323890
Tel: 50847770901103
| Npi | 1790810257 |
| Pac Id | 9739267998 |
| Professional Enrollment Id | I20080429000335 |
| Last Name | HETTICH KELLY |
| First Name | MARY |
| Middle Name | A |
| Suffix | |
| Gender | F |
| Credential | |
| Medical School Name | UNIVERSITY OF MASSACHUSETTS MEDICAL SCHOOL |
| Graduation Year | 1999 |
| Primary Specialty | NURSE PRACTITIONER |
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| Organization Legal Name | COMMUNITY HEALTH CENTER OF CAPE COD INC. |
| Group Practice Pac Id | 4486699568 |
| Number Of Group Practice Members | 17 |
| Line 1 Street Address | 123 WATERHOUSE RD |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | BOURNE |
| State | MA |
| Zip Code | 025323890 |
| Phone Number | 50847770901103 |
| Hospital Affiliation Ccn 1 | 220135 |
| Hospital Affiliation Lbn 1 | FALMOUTH HOSPITAL |
| Hospital Affiliation Ccn 2 | |
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| Professional Accepts Medicare Assignment | Y |
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