Individual
JACK F KEARNS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
800 WASHINGTON ST, ANESTHESIA DEPARTMENT, NORWOOD, MA 02062-3487
(781) 278-6524
Mailing address
PO BOX 845044, MVP ANESTHESIA ASSOCIATES, BOSTON, MA 02284-5044
(800) 720-1664
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
199762
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
430070320
RAILROAD MEDICARE
—
Enumeration date
10/12/2006
Last updated
06/18/2008
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