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Individual

ASHLEIGH KELLY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1 BOSTON MEDICAL CTR PL, BOSTON, MA 02118-2908
(617) 638-6950
(617) 638-6966
Mailing address
960 MASSACHUSETTS AVENUE, FL 2, BOSTON, MA 02118-2690

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
279049
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
110116387A
MA
05
3118346
NH
Enumeration date
03/25/2014
Last updated
06/08/2023
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