Individual
KELLY BATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
532 E 5TH ST APT 3, BOSTON, MA 02127-8841
(508) 963-8623
Mailing address
532 E 5TH ST APT 3, BOSTON, MA 02127-8841
(508) 963-8623
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
RN2308686
MA
Other
Enumeration date
06/22/2023
Last updated
07/05/2023
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