Individual
KAYLEN LONGVAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, BSN
Contact information
Practice address
85 HERRICK ST, BEVERLY, MA 01915-1790
(978) 816-3700
Mailing address
41 MALL RD, BURLINGTON, MA 01805-0001
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN2300150
MA
367500000X
Certified Registered Nurse Anesthetist
Primary
RN2300150
MA
Other
Enumeration date
07/25/2016
Last updated
04/05/2024
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