Individual
MS. KELLY CASEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
101 COLUMBIAN ST, SOUTH WEYMOUTH, MA 02190-1601
(781) 624-5000
Mailing address
175 CENTRE ST # 1507, QUINCY, MA 02169-8600
(617) 759-4091
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2293889
MA
Other
Enumeration date
09/30/2020
Last updated
01/08/2021
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