Individual
SHAWN JOSEPH KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
24 PHEASANT HOLLOW RD, NATICK, MA 01760-4163
(856) 495-2204
Mailing address
24 PHEASANT HOLLOW RD, NATICK, MA 01760-4163
(856) 495-2204
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
04/28/2025
Last updated
04/28/2025
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