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Individual

KEVIN FLYNN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
19 DEPOT ST, ADAMS, MA 01220-1856
(413) 743-5191
(413) 743-5192
Mailing address
19 DEPOT ST, ADAMS, MA 01220-1856
(413) 743-5191
(413) 743-5192

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2772
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
466095
TUFTS HEALTH PLAN
MA
01
668804
HEALTH NEW ENGLAND
MA
01
Y37020
BCBS OF MA
MA
Enumeration date
12/28/2006
Last updated
11/09/2007
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