Organization
MK-UROLOGY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA BLACKBURN-KIERKLA (OWNER)
(413) 237-3232
Entity
Organization
Contact information
Practice address
218 CEDAR SWAMP RD, MONSON, MA 01057-9307
(413) 237-3232
Mailing address
218 CEDAR SWAMP RD, MONSON, MA 01057-9307
(413) 237-3232
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
01/12/2017
Last updated
01/12/2017
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