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Contact Information

SIOBHAN E KELLY
55 FRUIT STREET
BOSTON, MA02241-9095
 Phone: 617-726-2000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

Administrator

163WA2000X
 

General Practice

163WG0000X
Indicates primary specialty

NPI Profile & details for SIOBHAN E KELLY · (Female)

NPI Number 1679349211
Status Active
Credentials
Entity Individual
Enumeration date 11/27/2023
Last updated 02/25/2026 - About 3 months ago
Sole proprietor 1 Yes
Identifiers
  • MA License # RN2340465
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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