Individual
KERRIE MCKENNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
158 MAIN ST, NORFOLK, MA 02056-1301
(500) 852-8651
Mailing address
158 MAIN ST, NORFOLK, MA 02056-1301
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
11202
MA
Other
Enumeration date
01/16/2007
Last updated
07/08/2007
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