Individual
KELLY DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
269 UNION ST, LYNN, MA 01901-1314
(781) 581-3900
(781) 598-1050
Mailing address
269 UNION ST, LYNN, MA 01901-1314
(781) 581-3900
(781) 598-1050
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN278665
MA
Other
Enumeration date
03/23/2009
Last updated
03/23/2009
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