Individual
MS. KELLY ANN KANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD, LDN
Contact information
Practice address
750 WASHINGTON ST # 783, BOSTON, MA 02111-1526
(617) 636-8309
(617) 636-8325
Mailing address
79 MADISON ST, PAWTUCKET, RI 02861-1315
(617) 640-4446
(617) 636-8325
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
786
MA
133V00000X
Registered Dietitian
LDN493
RI
Other
Enumeration date
04/16/2007
Last updated
07/08/2007
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