Individual
MRS. SUSAN WILKE KEARNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.P.N.P.
Contact information
Practice address
294 N MAIN ST, SUITE 101, EAST LONGMEADOW, MA 01028-1838
(413) 525-1870
(413) 525-3883
Mailing address
294 N MAIN ST, SUITE 101, EAST LONGMEADOW, MA 01028-1838
(413) 525-1870
(413) 525-3883
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
160006
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9732314
—
MA
Enumeration date
02/22/2006
Last updated
03/09/2012
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