KEVIN MISHAN

WORCESTER, MA
NPI1306595111
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207P00000X Emergency Medicine
(Licence: MA  1026042)
Enumeration Date2022-03-20
Last Update Date2026-04-24
Business Address
KEVIN MISHAN DO
55 LAKE AVE N
WORCESTER, MA 01655-0002
Phone number: 508-334-1000
Mailing Address
KEVIN MISHAN DO
281 LINCOLN ST PROVIDER ENROLLMENT DEPARTMENT
WORCESTER, MA 01605-2138
Phone number: 508-334-8015
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