Individual
CAROL KEAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
23 ORCHARD ST, BELMONT, MA 02478-3008
(617) 460-5659
Mailing address
23 ORCHARD ST, BELMONT, MA 02478-3008
(617) 460-5659
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN2267812
MA
Other
Enumeration date
06/09/2016
Last updated
06/09/2016
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