Individual
KERRY O'DONOVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1 KENT ST, BELMONT, MA 02478-1018
(857) 373-9461
Mailing address
1 KENT ST, BELMONT, MA 02478-1018
(857) 373-9461
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AG06190120
MA
Other
Enumeration date
07/19/2019
Last updated
07/19/2019
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