Individual
MS. MICHAELA MARIE KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1506A ALLEN ST, SPRINGFIELD, MA 01118-1817
(413) 783-5500
Mailing address
34 RIVER RD APT 122, SUNDERLAND, MA 01375-9518
(508) 523-2946
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
07/17/2023
Last updated
07/17/2023
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