Individual
KELLY FLYNN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
55 DIMOCK ST, ROXBURY, MA 02119-1029
(617) 442-8800
(617) 541-8334
Mailing address
15 BRACKETT ST, NEEDHAM, MA 02492-1606
(781) 400-5296
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
036405
CT
207VG0400X
Gynecology Physician
Primary
229645
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001364059
—
CT
Enumeration date
07/13/2005
Last updated
03/15/2013
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