Individual
MS. KELLY IRENE STEPHENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
221 LONGWOOD AVE, DEPT OF ENDOCRINOLOGY, BOSTON, MA 02115
(617) 732-5666
Mailing address
221 LONGWOOD AVE, DEPT OF ENDOCRINOLOGY, BOSTON, MA 02115
(617) 732-5666
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
003365
GA
207R00000X
Internal Medicine Physician
067094
GA
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
262623
MA
Other
Enumeration date
05/29/2008
Last updated
07/24/2015
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