Individual
JEANNE KINSELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
150 S HUNTINGTON AVE, BOSTON, MA 02130-4817
(617) 371-1718
Mailing address
16 DUNBAR RD, LAKEVILLE, MA 02347-2550
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
174503
MA
Other
Enumeration date
04/09/2008
Last updated
04/09/2008
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