Organization
KEVIN SNOW D.O., LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN SNOW DO (PHYSICIAN/OWNER)
(413) 533-2452
Entity
Organization
Contact information
Practice address
10 HOSPITAL DR, SUITE 305, HOLYOKE, MA 01040-6603
(413) 533-2452
(413) 533-3624
Mailing address
PO BOX 489, EAST LONGMEADOW, MA 01028-0489
(413) 525-9445
(413) 525-9406
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MA213952
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
M18771
BLUE CROSS OF MASSACHUSET
MA
Enumeration date
10/24/2006
Last updated
08/22/2020
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