Individual
RYAN DAVID KELAGHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
725 ALBANY ST, SHAPIRO 4, SUITE B, BOSTON, MA 02118-2526
(617) 638-5633
(617) 414-5226
Mailing address
720 HARRISON AVE, DOB 503, BOSTON, MA 02118-2371
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA5402
MA
Other
Enumeration date
07/01/2015
Last updated
09/10/2015
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