Individual
ERIN ELIZABETH KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
55 FRUIT STREET, BOSTON, MA 02114
(617) 724-4100
Mailing address
55 FRUIT STREET, BOSTON, MA 02114
(617) 724-4100
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA4257
MA
Other
Enumeration date
10/17/2011
Last updated
10/17/2011
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