NPI 1871319061

Kevin Antony Manco

Practitioner Basic Emergency Medical Technician Boston, MA

Practice location

Address: 136 Harrison Ave, Boston, MA 02111-1817
Phone: (781) 990-9953
Mailing address: 15 Johnson Rd, Weymouth, MA 02191-1109

Registered specialties

Basic Emergency Medical Technician Primary

Emergency Medical Service Providers Taxonomy 146N00000X Licence E0918754 (MA)

Other Emergency Medical Technician, Basic providers in Massachusetts →

Registry record

NPI: 1871319061
Entity type: Individual
Sex (as registered): Male
NPI issued: 3 Dec 2024
Record last updated: 3 Dec 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.