Individual
SHANNON M KELLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
55 FRUIT ST, BOSTON, MA 02114-2696
(617) 726-2033
Mailing address
55 FRUIT ST, BOSTON, MA 02114-2696
(617) 726-2033
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
—
—
Other
Enumeration date
05/12/2020
Last updated
06/12/2020
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