Individual
KRISTEN CONNEELY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, MED
Contact information
Practice address
148 WARREN ST, LOWELL, MA 01852-2208
(978) 452-1736
Mailing address
148 WARREN STREET, LOWELL, MA 01852
(978) 452-1736
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
2272347
MA
Other
Enumeration date
04/27/2012
Last updated
04/27/2012
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