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Individual

JEFFREY KYI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
338 MAIN ST, WAKEFIELD, MA 01880-5042
(781) 636-8189
Mailing address
338 MAIN ST, WAKEFIELD, MA 01880-5042

Taxonomy

Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary

Other

Enumeration date
06/04/2012
Last updated
03/06/2014
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  • EDI platform