Individual
ELLEN KRAG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
133 ORNAC, CONCORD, MA 01742-4159
(978) 287-3167
(978) 287-3391
Mailing address
133 ORNAC, CONCORD, MA 01742-4159
(978) 287-3167
(978) 287-3391
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
458
MA
Other
Enumeration date
12/18/2006
Last updated
03/23/2012
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