Individual
KIA BEVERLY PRESCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
44 BINNEY ST, SUITE D1210, BOSTON, MA 02115-6013
(617) 632-6318
(617) 632-3479
Mailing address
44 BINNEY ST, SUITE D1210, BOSTON, MA 02115-6013
(617) 632-6318
(617) 632-3479
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
AP2380
MA
Other
Enumeration date
08/28/2007
Last updated
08/29/2007
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