Individual
KELLY E KRAINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
450 BROOKLINE AVE, BOSTON, MA 02215-5450
(617) 632-3800
(617) 632-1930
Mailing address
450 BROOKLINE AVE, BOSTON, MA 02215-5450
(617) 632-3800
(617) 632-1930
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
10002607A
IN
363A00000X
Physician Assistant
Primary
PA7879
MA
363AM0700X
Medical Physician Assistant
MA061775
PA
Other
Enumeration date
10/22/2018
Last updated
04/02/2021
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