Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111N00000X | Chiropractor | 1626 | MA |
N | 111NN0400X | Neurology | 1626 | MA |
N | 111NX0800X | Chiropractor Orthopedic Specialist | 1626 | MA |
NPI | 1780731851 |
---|---|
Provider Name | Dr. Kevin O'brien |
First Address | Methuen, MA 01844-7204 |
Second Address | Methuen, MA 01844-7204 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/01/2007 |
Last Update Date | 15/12/2011 |