Search › Massachusetts › 163WC0200X
Kelly Poulos
NPI 1194563148 · on the registry since 2024
Practice
- Address
- 49 Acushnet Ave
Worcester, MA 01606 - Phone
- (774) 242-3103
Registry record
- Primary taxonomy
- 163WC0200X
163WC0200X
- Licence states on file
- MA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-07-15
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Massachusetts