Individual
KELLY O'CONNOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
295157
MA
390200000X
Student in an Organized Health Care Education/Training Program
280743
MA
Other
Enumeration date
03/23/2018
Last updated
10/25/2022
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