Kershaw, Irene

Kershaw, Irene is an individual health care provider with primary practice located at 163 Libbey Industrial Pkwy Suite 302, Weymouth MA 02189-3137. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as her primary health care specialty. Kershaw, Irene can be contacted via phone (781) 335-6663.

Contact Information

Primary practice address
163 Libbey Industrial Pkwy Suite 302 Weymouth MA 02189-3137
Phone: (781) 335-6663
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 225XP0200X 220 Massachusetts

Profile Details

NPI number 1982744199
LBN Legal business name Kershaw, Irene
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 7th, 2007
Last updated Jul 8th, 2007 - about 18 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 1982744199 NPPES
Massachusetts Other OT0190 BCBS PROVIDER ID

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