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Individual

KRISTEN KELLY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
30 LOCUST ST, CD PRACTICE ASSOCIATES, INC, NORTHAMPTON, MA 01060-2052
(413) 582-2898
Mailing address
30 LOCUST ST, WOMEN'S HEALTH CARE OF COOLEY DICKINSON, NORTHAMPTON, MA 01060-2052
(413) 582-2879

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
244752
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
68662
HEALTH NEW ENGLAND
MA
01
859400
TUFTS
MA
01
AA372690
HARVARD PILGRIM HEALTH PLAN
MA
Enumeration date
06/01/2010
Last updated
01/29/2015
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