Individual
KELLY SPOHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
55 FRUIT ST, BOSTON, MA 02114-2696
(617) 726-2000
(717) 531-0429
Mailing address
55 FRUIT ST, BOSTON, MA 02114-2621
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
MA061323
PA
363A00000X
Physician Assistant
Primary
PA9197
MA
Other
Enumeration date
12/30/2019
Last updated
12/29/2025
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