Individual
COLLEEN KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
WHNP
Contact information
Practice address
119 BELMONT STREET, WORCESTER, MA 01605-2903
(508) 334-8706
(508) 793-6849
Mailing address
PO BOX 415348, BOSTON, MA 02241-5348
(800) 225-8885
(508) 334-1977
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN2344512
MA
Other
Enumeration date
03/11/2024
Last updated
08/05/2024
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