Individual
KELLI KILLOREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1250 HANCOCK ST, QUINCY, MA 02169-4339
(617) 774-0600
Mailing address
3600 MYSTIC VALLEY PKWY APT 611, MEDFORD, MA 02155-5747
(617) 671-9033
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN2317839
MA
363LW0102X
Women's Health Nurse Practitioner
Primary
RN2317839
MA
Other
Enumeration date
06/30/2021
Last updated
05/02/2023
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