Individual
GRETCHEN LOUISE KELLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
570 BALDWINVILLE RD, BALDWINVILLE, MA 01436-1351
(978) 939-2133
(978) 939-8580
Mailing address
570 BALDWINVILLE RD, BALDWINVILLE, MA 01436-1351
(978) 939-2133
(978) 939-8580
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
80406
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3138879
—
MA
Enumeration date
09/23/2005
Last updated
04/05/2010
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