KELLEY ELIZABETH VISWANATH

MEDFORD, MA
NPI1760855936
Former NameKELLEY ELIZABETH STARKS
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: FL  ARNP9389209)
Enumeration Date2015-11-09
Last Update Date2017-11-17
Business Address
KELLEY ELIZABETH VISWANATH ARNP
85 HIGH ST
MEDFORD, MA 02155
Phone number: 781-396-4770
Mailing Address
KELLEY ELIZABETH VISWANATH ARNP
77 POND AVE APARTMENT 1109
BROOKLINE, MA 02445
Phone number: 651-278-2390