Individual
MS. MARY KINNEAVY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LIC. AC.
Contact information
Practice address
1601 WASHINGTON ST, 3RD FLOOR, BOSTON, MA 02118-1951
(617) 859-3036
Mailing address
650 HUNTINGTON AVE, 12M, BOSTON, MA 02115-5919
(617) 549-1654
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
0039
MA
Other
Enumeration date
06/19/2007
Last updated
07/08/2007
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