Organization
KSA WELLNESS, INC.
Active
Organization
KSA WELLNESS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES W REIDY (PRESIDENT)
(339) 793-0194
Entity
Organization
Contact information
Practice address
340 WOOD RD STE 206, BRAINTREE, MA 02184-2401
(339) 793-0194
Mailing address
19 GANNETT RD, SCITUATE, MA 02066-1608
(339) 793-0194
(781) 247-5215
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
06/26/2020
Last updated
06/26/2020
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