Individual
KELLY SHIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
300 LONGWOOD AVE, BOSTON, MA 02215-5418
(617) 355-0582
(617) 730-0240
Mailing address
300 LONGWOOD AVE, BOSTON, MA 02115-5724
(617) 355-0582
(617) 730-0240
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN2272983
MA
Other
Enumeration date
08/01/2014
Last updated
02/20/2017
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