Comeiro, Kenneth J.

Comeiro, Kenneth J. is an individual health care provider with primary practice located at 37 Friend St , Lynn MA 01902-3068. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as his primary health care specialty. Comeiro, Kenneth J. can be contacted via phone (781) 715-6633.

Contact Information

Primary practice address
37 Friend St Lynn MA 01902-3068
Fax: (781) 268-5070
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X RN209156 Massachusetts

Profile Details

NPI number 1104977354
LBN Legal business name Comeiro, Kenneth J.
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 15th, 2007
Last updated Feb 5th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104977354 NPPES
Massachusetts MEDICAID 0375420

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