Individual
KEVIN LANGLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
723 MAIN ST, AGAWAM, MA 01001-2540
(413) 374-0031
Mailing address
723 MAIN ST, AGAWAM, MA 01001-2540
(413) 374-0031
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN2317551
MA
Other
Enumeration date
02/19/2024
Last updated
04/03/2024
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