Individual
DR. KELLY L BUCHANAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
55 FRUIT ST, BOSTON, MA 02114-2696
(617) 243-2261
(617) 724-5996
Mailing address
55 FRUIT ST, BOSTON, MA 02114-2696
(617) 243-2261
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
1019073
MA
Other
Enumeration date
03/20/2020
Last updated
05/09/2024
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