Individual
MR. KEVIN LEE ROBERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
B.S., RSPGT
Contact information
Practice address
136 WHALEN DR, NORTH ATTLEBORO, MA 02760-4522
(508) 643-1979
Mailing address
136 WHALEN DR, NORTH ATTLEBORO, MA 02760-4522
(508) 643-1979
Taxonomy
Speciality
Code
Description
License number
State
246Z00000X
Other Specialist/Technologist
Primary
7978
MA
Other
Enumeration date
03/02/2010
Last updated
03/02/2010
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