Individual
THOMAS KELLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
780 ALBANY ST, BOSTON, MA 02118-2524
(857) 654-1000
Mailing address
780 ALBANY ST, BOSTON, MA 02118-2524
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN2269368
MA
Other
Enumeration date
04/01/2011
Last updated
04/01/2011
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