Individual
KELLEY SASUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
15 STRAW AVE, FLORENCE, MA 01062-1464
(413) 586-7100
Mailing address
15 STRAW AVE, FLORENCE, MA 01062-1464
(413) 586-7100
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
01/09/2007
Last updated
07/08/2007
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