Individual
KELLENE KIEL
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
115 LINCOLN ST, FRAMINGHAM, MA 01702-6358
(508) 875-1600
(508) 875-1297
Mailing address
690 CANTON ST, STE 325, WESTWOOD, MA 02090-2324
(781) 407-7713
(781) 407-0998
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
118722
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
430026239
RAILROAD MEDICARE
MA
Enumeration date
12/02/2005
Last updated
04/11/2016
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