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Kerry Ellis

NPI 1649767203 · on the registry since 2018 · sole proprietor

Practice

Address
190 High St Apt 210
Medford, MA 02155
Phone
(339) 223-7727

Registry record

Primary taxonomy
101YM0800X
101YM0800X
Licence states on file
NULL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2018-04-19
Status
Not present in the most recent federal file

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