Individual
KELLIE WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1493 CAMBRIDGE ST, CAMBRIDGE, MA 02139-1047
(617) 665-1000
Mailing address
6 WENTZELL AVE APT 2, BEVERLY, MA 01915-5416
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN2343643
MA
Other
Enumeration date
02/24/2023
Last updated
02/24/2023
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