Individual
KELLEY KOLOSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2014 WASHINGTON ST, NEWTON, MA 02462-1699
(617) 243-5550
Mailing address
2014 WASHINGTON ST, NEWTON, MA 02462-1607
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA6929
MA
363A00000X
Physician Assistant
—
—
Other
Enumeration date
02/14/2019
Last updated
09/21/2023
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