Provider Demographics
NPI:1265752539
Name:KEARNS, MEAGHAN CROWLEY (MD)
Entity type:Individual
Prefix:DR
First Name:MEAGHAN
Middle Name:CROWLEY
Last Name:KEARNS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:MEAGHAN
Other - Middle Name:MARGARET
Other - Last Name:CROWLEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:400 HIGHLAND AVE
Mailing Address - Street 2:SUITE 1
Mailing Address - City:SALEM
Mailing Address - State:MA
Mailing Address - Zip Code:01970-7003
Mailing Address - Country:US
Mailing Address - Phone:978-741-9500
Mailing Address - Fax:
Practice Address - Street 1:400 HIGHLAND AVE
Practice Address - Street 2:SUITE 1
Practice Address - City:SALEM
Practice Address - State:MA
Practice Address - Zip Code:01970-7003
Practice Address - Country:US
Practice Address - Phone:978-741-9500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-06-09
Last Update Date:2016-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA255031207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine