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Kevin Wijewardena
Student in an Organized Health Care Education/Training Program in Longmeadow, Massachusetts
NPI 1053046847

Kevin Wijewardena is a Student in an Organized Health Care Education/Training Program based in Longmeadow, MA. Kevin Wijewardena practices in Longmeadow, MA. The NPI Number for Kevin Wijewardena is 1053046847 and holds a License No. (Massachusetts).

The current practice location address for Kevin Wijewardena is 588 Longmeadow St, Longmeadow, MA and can be reached out via phone at 413-565-1000.

Location: 588 Longmeadow St, Longmeadow, MA, 01106-2212
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1053046847
Provider Name
Kevin Wijewardena
Credential
Provider Entity Type
Individual
Gender
Male
Address
588 Longmeadow St, Longmeadow, MA, 01106-2212
Phone Number
413-565-1000
Fax Number
Provider Enumeration Date
07/18/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
588 Longmeadow St
City
Longmeadow
State
Massachusetts
Zip
01106-2212
Phone Number
413-565-1000
Fax Number
person
Provider Business Mailing Address Details
Address
588 Longmeadow St
City
Longmeadow
State
Massachusetts
Zip
01106-2212
Phone Number
413-565-1000
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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