Individual
ALICIA KEENAN HALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1200 CENTRE ST, BOSTON, MA 02131-1011
(617) 363-8293
Mailing address
819 WORCESTER ST 3, SPRINGFIELD, MA 01151-1056
(413) 543-6820
(413) 543-7962
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
252099
MA
Other
Enumeration date
07/11/2006
Last updated
09/04/2015
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