Individual
KENNY YAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
235 WELLESLEY ST, WESTON, MA 02493-1572
(781) 768-7000
Mailing address
235 WELLESLEY ST, WESTON, MA 02493-1572
(781) 768-7000
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
RN2348970
MA
Other
Enumeration date
10/26/2023
Last updated
03/25/2024
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