Individual
MR. RICHARD KEVIN HENEGHAN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RNNP
Contact information
Practice address
2284 MAIN ST, CONCORD, MA 01742-3829
(978) 369-5575
(978) 371-9189
Mailing address
2284 MAIN ST, CONCORD, MA 01742-3829
(978) 369-5575
(978) 371-9189
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN188673
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1316243587
NPI
MA
Enumeration date
02/04/2011
Last updated
04/20/2016
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