Individual
KELLY CLOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
570 BALDWINVILLE RD, BALDWINVILLE, MA 01436
(978) 939-2133
Mailing address
570 BALDWINVILLE RD, #71, BALDWINVILLE, MA 01436-1351
(978) 939-2133
(978) 939-8580
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
061325-21
NH
363LF0000X
Family Nurse Practitioner
Primary
RN2295852
MA
Other
Enumeration date
10/14/2009
Last updated
09/12/2016
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