Individual
KELLY MCDONAGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
725 ALBANY ST, SUITE 3B, SHAPIRO BLDG, BOSTON, MA 02118
(617) 638-8485
(617) 414-7372
Mailing address
960 MASSACHUSETTS AVENUE, FL 2, BOSTON, MA 02118
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
C0010017
MD
363A00000X
Physician Assistant
Primary
PA102470
MA
363A00000X
Physician Assistant
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—
Other
Enumeration date
01/16/2024
Last updated
02/17/2026
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