Individual
KELSEY POLIKOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
55 FRUIT ST, BOSTON, MA 02114-2696
(617) 726-1721
Mailing address
76 H ST, SOUTH BOSTON, MA 02127-4408
(774) 573-9630
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
RN2288301
MA
363LF0000X
Family Nurse Practitioner
Primary
RN2288301
MA
Other
Enumeration date
08/21/2023
Last updated
01/31/2024
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