Individual
KELSEY SHORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
736 CAMBRIDGE ST, BRIGHTON, MA 02135-2907
(617) 789-3000
Mailing address
64 PUTNAM ST, WATERTOWN, MA 02472-1982
(781) 572-4486
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN2294596
MA
363LF0000X
Family Nurse Practitioner
Primary
RN2294596
MA
Other
Enumeration date
07/14/2022
Last updated
07/27/2023
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