Individual
KILEY CALLAHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
110 W SQUANTUM ST STE 8, NORTH QUINCY, MA 02171-2158
(617) 376-3000
Mailing address
110 W SQUANTUM ST STE 8, NORTH QUINCY, MA 02171-2158
(617) 376-3000
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
RN2316334
MA
363LF0000X
Family Nurse Practitioner
Primary
RN2316334
MA
Other
Enumeration date
03/11/2024
Last updated
03/18/2024
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