Individual
KAILEEN RILEY CANON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
234 RUSSELL ST # 7, HADLEY, MA 01035-3534
(413) 586-6020
Mailing address
66 MOUNTAIN ST, HAYDENVILLE, MA 01039-9723
(413) 588-8786
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
F07221086
MA
Other
Enumeration date
07/16/2022
Last updated
07/16/2022
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