Individual
KELLY STAMP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD, ANP
Contact information
Practice address
140 COMMONWEALTH AVE, CUSHING HALL 307, CHESTNUT HILL, MA 02467-3800
(617) 552-2119
Mailing address
140 COMMONWEALTH AVE, CUSHING HALL 307, CHESTNUT HILL, MA 02467-3800
(617) 552-2119
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
RN282846
MA
Other
Enumeration date
04/25/2014
Last updated
04/25/2014
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