Individual
SEAN KIELY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
14 CONGRESS ST, NEWBURYPORT, MA 01950-2342
(978) 417-0165
Mailing address
14 CONGRESS ST, NEWBURYPORT, MA 01950-2342
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1158116
MA
Other
Enumeration date
03/13/2019
Last updated
03/13/2019
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