Individual
DR. KEVIN M BAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
295 TAPPAN ST, UNIT #2, BROOKLINE, MA 02445-5308
(617) 879-2516
Mailing address
295 TAPPAN ST, UNIT #2, BROOKLINE, MA 02445-5308
(617) 879-2516
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
208677
MA
Other
Enumeration date
09/25/2006
Last updated
07/08/2007
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