Individual
KRISTINA MARIE KELLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
450 BROOKLINE AVE, BOSTON, MA 02215-5418
(617) 582-7164
Mailing address
33 VINE ST APT 1, MELROSE, MA 02176-3157
(978) 500-4946
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
RN282493
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN282493
MASSACHUSETTS BOARD OF REGISTRATION IN NURSING
MA
Enumeration date
10/04/2019
Last updated
10/04/2019
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