Search › Massachusetts › 104100000X
Jawaan Kellam
NPI 1881205920 · on the registry since 2020 · sole proprietor
Practice
- Address
- 42 Catawba St
Boston, MA 02119 - Phone
- (315) 559-6303
Registry record
- Primary taxonomy
- 104100000X
104100000X
- Licence states on file
- MA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2020-08-12
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