Individual
KELLIE CANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
59 NORFOLK ST, NEEDHAM, MA 02492-3227
(617) 835-0144
Mailing address
59 NORFOLK ST, NEEDHAM, MA 02492-3227
(617) 835-0144
Taxonomy
Speciality
Code
Description
License number
State
163WP0807X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
Primary
RN2345044
MA
Other
Enumeration date
01/03/2025
Last updated
01/03/2025
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