Individual
ANDREA KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
75 FRANCIS ST, BOSTON, MA 02115-6110
(617) 732-6231
(617) 732-7347
Mailing address
75 FRANCIS ST, BOSTON, MA 02115-6110
(617) 732-6231
(617) 732-7347
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
252181
MA
Other
Enumeration date
07/24/2006
Last updated
03/11/2010
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