Individual
KELLY POWERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
8 VERNDALE ST APT 3, BROOKLINE, MA 02446-2474
(518) 683-0117
Mailing address
8 VERNDALE ST APT 3, BROOKLINE, MA 02446-2474
(518) 683-0117
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN2320206
MA
363LP0200X
Pediatric Nurse Practitioner
Primary
201914046
MA
Other
Enumeration date
07/25/2019
Last updated
07/25/2019
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