Individual
KENNETH KAMIRI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
354 W BOYLSTON ST, WEST BOYLSTON, MA 01583-2373
(774) 261-8477
Mailing address
88 4TH ST, WORCESTER, MA 01602-3132
(508) 414-6730
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN2297341
MA
Other
Enumeration date
12/30/2015
Last updated
12/30/2015
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