| Kelly Kathryn Makela, DC | |
|
102 Charles St, Boston, MA 02114-4607 | |
| (617) 720-1992 | |
| Not Available |
| Full Name | Kelly Kathryn Makela |
|---|---|
| Gender | Female |
| Speciality | Chiropractor |
| Location | 102 Charles St, Boston, Massachusetts |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801550876 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 3753 (Massachusetts) | Primary |
| Provider Name | Charles Street Family Chiropractic Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1770505273 PECOS PAC ID: 0143226837 Enrollment ID: O20061020000358 |
| Mailing Address | Practice Location Address |
|---|---|
| Kelly Kathryn Makela, DC 102 Charles St, Boston, MA 02114-4607 Ph: () - | Kelly Kathryn Makela, DC 102 Charles St, Boston, MA 02114-4607 Ph: (617) 720-1992 |
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