MR. TRENTON TYLER KELLOCK MD
NPI 1154811800
Student in an Organized Health Care Education/Training Program in Boston, MA

Active since May 17, 2018
75 FRANCIS ST., MSK FELLOWSHIP, DEPT. OF RADIOLOGY, RA-3, BRIGHAM & WOM, BOSTON, MA 02115(617) 732-6266(978) 352-9015 Get Directions Write a Review

NPPES record last updated: January 15, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jan 15, 2019, May 17, 2018 (2 updates tracked since 2018).

About Mr. Trenton Tyler Kellock Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. TRENTON TYLER KELLOCK MD (NPI 1154811800) is an individual student in an organized health care education/training program in Boston, Massachusetts and active in the NPI registry since May 2018.

NPPES Registry Identity

NPI1154811800
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameMR. TRENTON TYLER KELLOCKCredential: MD
Location Address75 FRANCIS ST., MSK FELLOWSHIP, DEPT. OF RADIOLOGY, RA-3, BRIGHAM & WOMBoston, MA 02115
Mailing AddressWomen's Hospital Department Of Radiology, 75 Francis St, Attn Dr Tenton KellockBoston, MA 02115 · (617) 732-7537 · Fax (617) 732-6336
Fax(978) 352-9015
Sole ProprietorYes
Enumeration DateMay 17, 2018
Last NPPES UpdateJanuary 15, 20192 updates tracked since enumeration
NPI 1154811800 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

75 FRANCIS ST., Boston, MA 02115

Other Providers at the Same Location


The following 15 providers are registered at the same or a nearby location.

Pathology (Clinical Pathology/Laboratory Medicine)
75 FRANCIS ST., BRIGHAM & WOMEN'S HOSP
BOSTON, MA 02115
Nurse Practitioner
75 FRANCIS ST., BRIGHAM AND WOMEN'S HOSPITAL, PBB CLINIC-3
BOSTON, MA 02115
Social Worker (Clinical)
75 FRANCIS ST.
BOSTON, MA 02115
Obstetrics & Gynecology (Gynecologic Oncology)
75 FRANCIS ST., BRIGHAM AND WOMEN'S HOSPITAL, DIVISION OF GYN ONCOLOGY
BOSTON, MA 02115
Internal Medicine
75 FRANCIS ST., CLINICS ADMINISTRATION BUILDING 3 / CA 311
BOSTON, MA 02115
Nurse Practitioner (Family)
75 FRANCIS ST., OCCUPATIONAL HEALTH DEPT. MID CAMPUS GROUND PIKE
BOSTON, MA 02115
Pathology (Anatomic Pathology & Clinical Pathology)
75 FRANCIS ST., DEPT OF PATHOLOGY AT BWH
BOSTON, MA 02115
Pathology (Anatomic Pathology & Clinical Pathology)
75 FRANCIS ST., DEPARTMENT OF PATHOLOGY, BRIGHAM AND WOMEN'S HOSPITAL
BOSTON, MA 02115
Pathology (Molecular Genetic Pathology)
75 FRANCIS ST., DEPARTMENT OF PATHOLOGY, BRIGHAM AND WOMEN'S HOSPITAL
BOSTON, MA 02115
Pathology (Anatomic Pathology)
75 FRANCIS ST., DEPARTMENT OF PATHOLOGY
BOSTON, MA 02115
Student in an Organized Health Care Education/Training Program
75 FRANCIS ST., DEPARTMENT OF PATHOLOGY
BOSTON, MA 02115
Anesthesiology
75 FRANCIS ST., BRIGHAM AND WOMEN'S HOSPITAL
BOSTON, MA 02115
Student in an Organized Health Care Education/Training Program
75 FRANCIS ST., DEPARTMENT OF RADIOLOGY
BOSTON, MA 02115
Obstetrics & Gynecology (Gynecology)
75 FRANCIS ST., ASB1-3-608A, DEPT. OF OB/GYN RESIDENCY
BOSTON, MA 02115
Student in an Organized Health Care Education/Training Program
75 FRANCIS ST.
BOSTON, MA 02115

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1154811800, enumerated as an "individual" on May 17, 2018.

The provider is located at 75 FRANCIS ST. MSK FELLOWSHIP, DEPT. OF RADIOLOGY, RA-3, BRIGHAM & WOM BOSTON, MA 02115 and the phone number is (617) 732-6266.

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.