Individual
KRISTEN J POWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
780 ALBANY ST, BOSTON, MA 02118-2524
(185) 765-4100
Mailing address
23 DEVIND RD., RANDOLPH, MA 02368
(617) 820-2255
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN2277504
MA
Other
Enumeration date
02/25/2014
Last updated
02/26/2014
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