Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KEVIN WILLIAM ROUSSEAU
Active Sole ProprietorKEVIN WILLIAM ROUSSEAU is a General Practice Nurse healthcare provider located in MILLIS, Massachusetts. NPI 1164010682 is currently active in the NPPES registry. Verify at CMS.
General Practice Nurse · MILLIS, MA
Registration Details
- NPI Number
- 1164010682
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 10, 2021 (5.6257542750589 yrs)
- Last Updated
- Jan 10, 2021
- License
-
146044 (MA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
69 PLEASANT STMILLIS, MA, 020541477Browse MA providers · Browse ZIP 02054
- Phone
- 7742498782
- Primary Specialty
-
General Practice Nurse
163WG0000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.