Individual
KYLIE RACHEL MOOREHOUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
55 FRUIT ST, BOSTON, MA 02114-2696
(617) 726-2000
Mailing address
65 COOLIDGE RD, LYNN, MA 01902-1069
(781) 715-5776
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
06/30/2023
Last updated
08/21/2023
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