Individual
LONI M KEARNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1215 WILBRAHAM RD, SPRINGFIELD, MA 01119-2612
(413) 782-1211
(413) 796-8855
Mailing address
263 ALDEN ST, SPRINGFIELD, MA 01109-3707
(413) 748-3175
(413) 748-3444
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
002107
CT
363A00000X
Physician Assistant
Primary
PA4430
MA
Other
Enumeration date
07/02/2008
Last updated
11/03/2016
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