Individual
PAMELA KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS RNC PNP
Contact information
Practice address
300 LONGWOOD AVE, BOSTON, MA 02115-5724
(617) 355-6171
Mailing address
300 LONGWOOD AVE, BOSTON, MA 02115-5724
(617) 355-6171
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
RN198165
MA
363LP0200X
Pediatric Nurse Practitioner
Primary
198165
MA
Other
Enumeration date
05/22/2008
Last updated
01/06/2025
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