Individual
KELLY MEGOWEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
401 HIGHLAND AVE, SOMERVILLE, MA 02144-2516
(339) 368-7696
Mailing address
615 ELSINORE PL STE 200, CINCINNATI, OH 45202-1457
(833) 510-4357
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LN63499
MA
Other
Enumeration date
01/10/2023
Last updated
01/10/2023
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