Individual
MRS. KELLY LYNNE O'CONNELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
75 FRANCIS ST, BOSTON, MA 02115-6110
(617) 732-5500
(617) 582-6021
Mailing address
46 PLEASANTVIEW ST, ROSLINDALE, MA 02131-4714
(339) 226-0139
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
MA
Other
Enumeration date
09/11/2012
Last updated
04/02/2014
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