Individual
KAITLIN FARRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
330 BROOKLINE AVE, BOSTON, MA 02215-5400
(617) 667-7000
Mailing address
832 E 2ND ST APT 2, BOSTON, MA 02127-6689
(908) 328-4527
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA102302
MA
Other
Enumeration date
02/05/2026
Last updated
02/05/2026
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