Kevin William Rousseau
Registered Nurse, General Practice in Millis, MA. Individual provider (NPI-1).
NPI number1164010682
StatusActive
Last updated in NPPESJan 10, 2021
Details
- NPI
- 1164010682
- Entity type
- Individual (NPI-1)
- Name
- Kevin William Rousseau
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jan 10, 2021
- Certification date
- Jan 10, 2021
- Last updated
- Jan 10, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163WG0000X | Registered Nurse, General Practice | 146044 | MA | Yes |
Practice location
69 Pleasant StMillis, MA 02054-1477
Phone 774-249-8782
Mailing address
69 Pleasant StMillis, MA 02054-1477
Phone 774-249-8782
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