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Contact Information

MARY A HETTICH KELLY, APRN CNS PSYCH
259 NORTH ST # A
HYANNIS, MA02601-3834
 Phone: 508-862-0514
 Fax: 508-862-0514
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatric/Mental Health, Community

364SP0812X 89 Certified Clinical Nurse Specialist
 

Family

363LF0000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for MARY A HETTICH KELLY · (Female)

NPI # 1790810257
Status Active
Credentials APRN CNS PSYCH
Entity Individual
Enumeration date 02/23/2007
Last updated 10/07/2025 - About 8 months ago
Sole proprietor 1 No
Identifiers
  • MA License # 197116
Hospital affiliation(s)
  • CAPE COD HOSPITAL - (Acute Care)
    88 LEWIS BAY ROAD
    HYANNIS, MA 02601
  • FALMOUTH HOSPITAL - (Acute Care)
    67 & 100 TER HEUN DRIVE
    FALMOUTH, MA 02540
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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