Individual
PRABHJIT KAUR KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
121 HIGH ST, BOSTON, MA 02110-2416
(617) 338-7200
Mailing address
121 HIGH ST, BOSTON, MA 02110-2416
(617) 338-7200
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
5552
MA
Other
Enumeration date
05/17/2022
Last updated
12/18/2023
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