NPI 1013355981

Kelly Ann Dougherty, CRNA

Practitioner Certified Registered Nurse Anesthetist Boston, MA

Practice location

Address: 55 Fruit St Grb 444, Boston, MA 02114-2621
Phone: (617) 461-8029
Mailing address: 95 Waldemar Ave, Winthrop, MA 02152-2346

Registered specialties

Certified Registered Nurse Anesthetist Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367500000X Licence RN237716 (MA)

Other Nurse Anesthetist, Certified Registered providers in Massachusetts →

Registry record

NPI: 1013355981
Entity type: Individual
Sex (as registered): Female
NPI issued: 12 Jun 2013
Record last updated: 12 Jun 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.