Individual
KELLY COLLINS BUCHANAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1244 BOYLSTON ST, CHESTNUT HILL, MA 02467-2116
(617) 731-1600
Mailing address
61 GARFIELD ST APT 5, CAMBRIDGE, MA 02138-1863
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
AP2328
MA
Other
Enumeration date
06/11/2008
Last updated
12/16/2009
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