Individual provider · Type 1 NPI

Alicia Peticolas Kelley, PA-C

Medical Physician Assistant · Boston, MA

NPI number 1669545356 Active

Practice location

15 Francis Street, PBB-B4
Boston, MA 02115

Mailing address

3 Maple Ct
Maynard, MA 01754-2342

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X363A00000X (MA)

Medical Physician Assistant: Definition to come...

7 other providers at this address

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About NPI 1669545356

Alicia Peticolas Kelley, PA-C's National Provider Identifier is 1669545356, issued on Nov 17, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Boston, MA. The record was last updated on Jul 8, 2007.