Individual
MEAGHAN KELLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
501 CRESCENT ST, NEW HAVEN, CT 06515-1330
(774) 545-5831
Mailing address
121 OAKWOOD DR, EAST BROOKFIELD, MA 01515-2026
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
10/16/2019
Last updated
10/16/2019
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