Individual
DR. ROGER L KINNARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
792 MAIN ST, MELROSE, MA 02176-2710
(781) 665-2255
(781) 665-2246
Mailing address
792 MAIN ST, MELROSE, MA 02176-2710
(781) 665-2255
(781) 665-2246
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
59856
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3039897
—
MA
Enumeration date
10/10/2006
Last updated
07/08/2007
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