Individual
MAURA KATHLEEN KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
100 WASON AVE STE 120, SPRINGFIELD, MA 01107-1179
(413) 241-2100
(413) 735-1986
Mailing address
100 WASON AVE STE 120, SPRINGFIELD, MA 01107-1179
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA5448
MA
Other
Enumeration date
10/14/2015
Last updated
01/12/2026
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