Individual
KAYLEIGH MCDONALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
330 BROOKLINE AVE DEPT OF, BOSTON, MA 02215-5491
(617) 667-3110
Mailing address
49 NORFOLK ST, WALPOLE, MA 02081-1713
(508) 454-0627
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN2281608
MA
390200000X
Student in an Organized Health Care Education/Training Program
RN2281608
MA
Other
Enumeration date
04/10/2018
Last updated
08/22/2019
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