Individual
MOIRA KATHRINE KILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LATC
Contact information
Practice address
275 CABOT ST STE 6, BEVERLY, MA 01915-4526
(978) 927-8945
Mailing address
27 THORNDIKE ST UNIT 1, BEVERLY, MA 01915-5854
(978) 767-6606
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
547
MA
Other
Enumeration date
08/21/2014
Last updated
08/21/2014
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