Individual
KERRY MACCINI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGNP
Contact information
Practice address
795 MIDDLE ST, FALL RIVER, MA 02721-1798
(508) 674-5600
Mailing address
123 CANTON ST, RANDOLPH, MA 02368-2451
(781) 400-4101
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
RN2266184
MA
Other
Enumeration date
07/15/2019
Last updated
07/15/2019
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