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KELLY ANN POULOS
NPI 1194563148
Registered Nurse - Critical Care Medicine in Worcester, MA

Active since July 15, 2024
49 ACUSHNET AVE, WORCESTER, MA 01606(774) 242-3103 Get Directions Write a Review

NPPES record last updated: July 15, 2024. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Kelly Ann Poulos NPPES

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

KELLY ANN POULOS (NPI 1194563148) is an individual critical care medicine provider in Worcester, Massachusetts, licensed in Massachusetts (RN2350849) and active in the NPI registry since July 2024.

NPPES Registry Identity

NPI1194563148
Entity TypeIndividualFemale
Primary Taxonomy163WC0200X
Provider Legal NameKELLY ANN POULOS
Location Address49 ACUSHNET AVEWorcester, MA 01606-1819
Mailing Address49 Acushnet AveWorcester, MA 01606-1819
Phone(774) 242-3103
Sole ProprietorNo
Enumeration DateJuly 15, 2024
NPPES CertifiedJuly 15, 2024
✔ NPI 1194563148 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRegistered Nurse · Critical Care MedicineNursing Service Providers
Taxonomy Code163WC0200X
License✔ Licensed in MA · RN2350849
49 ACUSHNET AVE, Worcester, MA 01606
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kelly Poulos's NPI number?

The NPI number for Kelly Poulos is 1194563148. It was assigned to this individual provider in the NPPES registry on July 15, 2024.

Where is Kelly Poulos located?

Kelly Poulos practices at 49 Acushnet Ave, Worcester, MA 01606. The listed phone number is (774) 242-3103.

What is Kelly Poulos's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Critical Care Medicine, with taxonomy code 163WC0200X.

When was this NPI record last updated?

The NPPES record for Kelly Poulos was last updated on July 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.