Individual
KELLYANN O'BRIEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3400 MAIN ST, SPRINGFIELD, MA 01107-1113
(413) 794-9560
(413) 794-5884
Mailing address
280 CHESTNUT ST, 2ND FLOOR, SPRINGFIELD, MA 01199-1619
(413) 794-5700
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA4823
MA
Other
Enumeration date
06/13/2006
Last updated
11/17/2023
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