Individual
DR. KAILENN TSAO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
955 MAIN ST, SUITE 204, WINCHESTER, MA 01890-1961
(781) 729-7401
(781) 729-5160
Mailing address
PO BOX 88, WINCHESTER, MA 01890-0188
(781) 729-7401
(781) 729-5160
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
159572
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110061298A
—
MA
Enumeration date
04/13/2006
Last updated
09/27/2013
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