Search › Massachusetts › 1223G0001X
Kelly Bouchard, D.M.D
NPI 1316105307 · on the registry since 2008
Practice
- Address
- 103 Van Deene Ave
West Springfield, MA 01089 - Phone
- (413) 733-3019
- Fax
- (413) 788-7387
- Organisation at this address
- Kelly Bouchard Dmd Pc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 1223G0001X
1223G0001X
- Licence states on file
- MA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2008-05-28
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