Individual
MEAGAN KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
1400 VFW PKWY, WEST ROXBURY, MA 02132-4927
(857) 203-0000
Mailing address
29 SCOTT CIR, DEDHAM, MA 02026-6402
(781) 363-6700
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
RN2269913
MA
Other
Enumeration date
10/16/2018
Last updated
01/18/2024
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