Individual
SIOBHAN ELIZABETH KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
55 FRUIT STREET, BOSTON, MA 02241-9095
(617) 726-2000
Mailing address
128 BUNKER HILL ST, CHARLESTOWN, MA 02129-3128
Taxonomy
Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
RN2340465
MA
163WG0000X
General Practice Registered Nurse
RN2340465
MA
363L00000X
Nurse Practitioner
Primary
RN2340465
MA
Other
Enumeration date
11/27/2023
Last updated
02/25/2026
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