Michael Kelly CRNA

NPI 1023400462 - Registered Nurse - 163W00000X

NPI Details
NPI 1023400462
Gender Male
Enumeration Date 02/23/2015
Last Updated 02/23/2015
Entity Type Individual
Active Over 1 year ago
Practice Location
300 LONGWOOD AVE
BOSTON MA, 02115-5724, US
Phone (617) 355-6000
Fax
Business Location
202 ASHLAND ST
HOLLISTON MA, 01746-1227, US
Phone
Fax
Toxanomy
Taxonomy Code 163W00000X
License State Massachusetts
License Number RN274303
Remove 1023400462 NPI Number
 

According to our database, Michael Kelly CRNA NPI is 1023400462, taxonomy code is 163W00000X and license number is RN274303, license state is located at Massachusetts. Michael Kelly CRNA physically located at 300 Longwood Ave, Boston MA, 02115-5724. NPI Number Michael Kelly CRNA has the Individual type.

Sponsored links

1023400462 NPI number is provided on an as is basis without warranty of any kind. 1023400462 is maintained by the National Plan & Provider Enumeration System. The contents of Michael Kelly CRNA are for informational purposes only.