Individual
KELLEY J TRAVERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
55 FOGG RD, WEYMOUTH, MA 02190-2432
(781) 624-8000
Mailing address
830 OAK ST, SUITE 105W, BROCKTON, MA 02301-1168
(508) 427-3668
(508) 427-2610
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
252116
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0799815
—
MA
Enumeration date
07/07/2006
Last updated
02/21/2024
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