Individual
MISS KIMBERLY ANN KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
229 STEDMAN ST, LOWELL, MA 01851-2705
(978) 677-6952
Mailing address
229 STEDMAN ST, LOWELL, MA 01851-2705
(978) 677-6952
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
08/12/2013
Last updated
12/09/2016
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