Individual
SANDRA MACKAY KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
41 MONTVALE AVE, STONEHAM, MA 02180-2445
(781) 224-5877
(781) 224-5817
Mailing address
41 MONTVALE AVE, STONEHAM, MA 02180-2445
(781) 224-5877
(781) 224-5817
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
124263
MA
Other
Enumeration date
06/03/2006
Last updated
02/20/2013
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