Individual
DR. KEVIN A RHEAUME
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3311
MA
111N00000X
Chiropractor
5241564651
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002097401
MEDICARE PTN
MA
Enumeration date
02/12/2010
Last updated
11/02/2011
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