Individual
KELLY BLAIR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
300 LONGWOOD AVE, BOSTON, MA 02115-5724
(617) 539-8832
Mailing address
505 CONGRESS ST UNIT 907, BOSTON, MA 02210-2907
(908) 892-7717
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN2372034
MA
Other
Enumeration date
06/27/2023
Last updated
06/27/2023
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