Individual
DEANA ASHLEY KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
801 MASSACHUSETTS AVE, CROSSTOWN 2, BOSTON, MA 02118
(617) 414-7399
(617) 414-4676
Mailing address
960 MASSACHUSETTS AVE STE 2, BOSTON, MA 02118-2690
(617) 529-0789
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN2294218
MA
363LF0000X
Family Nurse Practitioner
Primary
RN2294218
MA
Other
Enumeration date
06/23/2020
Last updated
09/17/2024
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