Individual
KATHLEEN M KEIRAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
82 MAIN ST, KINGSTON, MA 02364-2298
(781) 582-0400
(781) 582-0402
Mailing address
82 MAIN ST, KINGSTON, MA 02364-2298
(781) 582-0400
(781) 582-0402
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2167
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
UX8948
MEDICARE PTAN
MA
Enumeration date
06/07/2006
Last updated
11/15/2007
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