Individual
MS. JOAN MARIE KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, ANP
Contact information
Practice address
44 BINNEY ST, D1B02, BOSTON, MA 02115-6013
(617) 632-5199
Mailing address
20 CHARLES ST, BEDFORD, MA 01730-2521
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
194173
MA
Other
Enumeration date
06/07/2006
Last updated
08/29/2011
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