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Individual

KENNETH CHEA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
NP

Contact information

Practice address
694 WESTERN AVE, LYNN, MA 01905-2229
(781) 595-7348
Mailing address
PO BOX 526, LYNN, MA 01901
(781) 581-3900

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN2297344
MA

Other

Enumeration date
10/01/2020
Last updated
10/02/2020
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