Individual
MS. LINDA K KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
55 FRIUT STREET, BOSTON, MA 02114-2621
(617) 726-5290
(617) 726-4803
Mailing address
55 FRUIT ST, BOSTON, MA 02114-2621
(617) 726-5290
(617) 726-4803
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
RN181788
MA
Other
Enumeration date
09/10/2009
Last updated
09/10/2009
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