Individual
KYLA MARIE COLLINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
222 MAIN ST, SOUTHBRIDGE, MA 01550-2593
(508) 765-7711
Mailing address
54 ALAN AVE, PASCOAG, RI 02859-2800
(508) 579-0117
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN2313655
MA
Other
Enumeration date
08/08/2024
Last updated
08/08/2024
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