Individual
KELLI N THIBEDEAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
851 MAIN ST, SUITE 11, BRIGHAM AND WOMEN'S NEUROSURGERY, WEYMOUTH, MA 02190-1612
(781) 331-4923
(781) 340-0231
Mailing address
51 PERFORMANCE DRIVE, BRIGHAM SURGICAL ASSOCIATES, SUITE 300, WEYMOUTH, MA 02189
(781) 624-4943
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
03/10/2016
Last updated
07/21/2023
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