Healthcare Provider Details

I. General information

NPI: 1790640357
Provider Name (Legal Business Name): KELSUBY HEALTH & WELLNESS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/17/2025
Last Update Date: 12/17/2025
Certification Date: 12/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

124-126 DEWEY STREET 1B
WORCESTER MA
01610-0000
US

IV. Provider business mailing address

124-126 DEWEY STREET 1B
WORCESTER MA
01610-0000
US

V. Phone/Fax

Practice location:
  • Phone: 774-345-8205
  • Fax:
Mailing address:
  • Phone: 774-345-8205
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: ROSE MARIE NYAKAKO
Title or Position: OWNER
Credential:
Phone: 774-345-8205