Individual
KELLY A BOURNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
62 MARKET ST, LYNN, MA 01901
(339) 883-1212
(978) 595-5479
Mailing address
37 FRIEND STREET, ELEMENT CARE INC., LYNN, MA 01902
(781) 715-6608
(781) 715-6699
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN2261075
MA
Other
Enumeration date
07/26/2017
Last updated
07/26/2017
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