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Individual

MISS MARY DANA KELLY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CPNP

Contact information

Practice address
300 LONGWOOD AVE, CHPCC HUNNEWELL GROUND, BOSTON, MA 02115
(617) 355-7701
Mailing address
300 LONGWOOD AVENUE, CHPCC HUNNEWELL GROUND, BOSTON, MA 02115
(617) 355-7701

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
152018
MA
364SP0200X
Pediatric Clinical Nurse Specialist
152018
MA

Other

Enumeration date
05/19/2008
Last updated
05/19/2008
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