Individual ProviderKellan Iscah McnallySocial WorkerBehavioral Health & Social Service ProvidersPractice Address675 Main St, Waltham, MA 02451-0602(860) 208-2480PECOS EnrollmentBased on the most recent information from CMS, provider Kellan Iscah Mcnally does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 10:04 AM.Profile DetailsProvider ID1699040089Provider TypeIndividualFull NameMcnally, Kellan IscahTitleMr.GenderMaleSole ProprietorYesEnumeration Date3/19/2012Last Updated8/9/2016Contact InformationPractice LocationPractice Address675 Main St, Waltham, MA 02451-0602Phone(860) 208-2480FaxUnlisted FaxMailing LocationMailing Address675 Main St, Waltham, MA 02451-0602Phone(860) 208-2480FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer