Individual
KELLY ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
529 MAIN ST STE 222, CHARLESTOWN, MA 02129-1101
(866) 610-2273
Mailing address
93 PLEASANT ST, WENHAM, MA 01984-1338
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
RN237470
MA
Other
Enumeration date
07/02/2020
Last updated
11/27/2023
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