Kevin William Rousseau
Individual provider Active NPI General Practice Registered Nurse · Millis, MA
NPI 1164010682 · NPPES record last updated Jan 10, 2021
Key facts
- NPI
- 1164010682
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Registered Nurse 163WG0000X
- License
- 146044 (MA)
- Practice address
- 69 Pleasant St
Millis, MA 02054-1477 - Phone
- (774) 249-8782
- NPI assigned
- Jan 10, 2021
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 146044 | MA | MD | General Practice Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Registered Nurse | 163WG0000X | 146044 | MA | Yes |
Addresses
Primary practice location
69 Pleasant St
Millis, MA 02054-1477
Mailing address
69 Pleasant St
Millis, MA 02054-1477
Phone (774) 249-8782
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Millis | ||
| CONNECT URL | Millis | Other |
Other providers in Millis, MA
- Marie Frances Reggio
- Leslie A Riding
- Stephanie Roberts
- Marian Rogers
- Romar Health Corp.
- Jennifer Ruys
- Rachel Claire Schwartz
- Suzanne C Sennott
- Barry Herbert Shamus
- Melissa T Shapkin
All providers in Millis, MA · General Practice Registered Nurse in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 10, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.