Individual
DR. JEFFREY G KINTISH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
58 DODGE ST, BEVERLY, MA 01915-1706
(978) 922-0127
(978) 922-7276
Mailing address
58 DODGE ST, BEVERLY, MA 01915-1706
(978) 922-0127
(978) 922-7276
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1147
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
043159934
TAX ID
MA
Enumeration date
10/02/2005
Last updated
09/16/2011
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