Individual
MS. LESLIE S KELLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
N.P
Contact information
Practice address
300 LONGWOOD AVE, BOSTON, MA 02115-5724
(617) 355-6000
Mailing address
300 LONGWOOD AVE, BOSTON, MA 02115-5724
(617) 355-6000
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
F382041-1
NY
363LP2300X
Primary Care Nurse Practitioner
Primary
RN2329589
MA
Other
Enumeration date
09/02/2009
Last updated
04/01/2022
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