KELLY K LONG

BOSTON, MA
NPI1891933495
Former NameKELLY DEVINE
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: MA  PA3727)
Enumeration Date2009-02-04
Last Update Date2023-12-04
Business Address
Miss KELLY K LONG PA-C
75 FRANCIS ST
BOSTON, MA 02115-6110
Phone number: 781-640-1542
Mailing Address
Miss KELLY K LONG PA-C
76 CHILTON ST
CAMBRIDGE, MA 02138-6802
Phone number: 781-640-1542
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