Individual
JANICE E KELLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
151 MYSTIC AVE, MEDFORD, MA 02155-4632
(781) 396-1199
(781) 396-1439
Mailing address
11 TOWN ST, PLYMOUTH, MA 02360-2951
(508) 746-1843
(781) 396-1439
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
110448
MA
Other
Enumeration date
09/20/2006
Last updated
07/08/2007
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