Individual
KELLY KATHRYN MAKELA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
102 CHARLES ST, BOSTON, MA 02114-4607
(617) 720-1992
Mailing address
102 CHARLES ST, BOSTON, MA 02114-4607
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3753
MA
Other
Enumeration date
10/26/2021
Last updated
01/11/2023
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