Kelli R Hickle
Plastic and Reconstructive Surgery
55 Fruit St
Boston
, Massachusetts 02114-2621
Kelli R Hickle
Plastic and Reconstructive Surgery
55 Fruit St
Boston
, Massachusetts 02114-2621
(617) 726-8554
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About
Features
Specialties
- Plastic and Reconstructive Surgery
Languages spoken
- English
Location
First Address
- Kelli R Hickle
- 55 Fruit St # 435
- Boston, MA
- Zip : 02114-2621
- Phone : (617) 726-8554
Second Address
- Kelli R Hickle
- 55 Fruit St
- Boston, MA
- Zip : 02114-2621
- Phone : (480) 235-1383
Reviews
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What type of doctor is Kelli R Hickle
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Is Kelli R Hickle a sole practitioner?
Is Kelli R Hickle accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2086S0122X | Plastic and Reconstructive Surgery | 273850 | MA |
National Provider Identifier
| NPI | 1013303544 |
|---|---|
| Provider Name | Kelli R Hickle |
| First Address | Boston, MA 02114-2621 |
| Second Address | Boston, MA 02114-2621 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 10/04/2015 |
| Last Update Date | 30/07/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.