Individual
KELLY M SWANSON
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
27 PARK STREET, CAPE COD HOSPITAL DAVENPORT MUGAR CANCER CENTER, HYANNIS, MA 02601
(508) 862-7575
(508) 862-7362
Mailing address
27 PARK STREET, CAPE COD HOSPITAL DAVENPORT MUGAR CANCER CENTER, HYANNIS, MA 02601
(508) 862-7575
(508) 862-7362
Taxonomy
Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
Primary
225124
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AA38833
HPHC
MA
01
—
J28975
BCBS
MA
Enumeration date
03/08/2006
Last updated
07/08/2007
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