Provider Demographics
NPI:1336348655
Name:FIRESTONE, KARA (DC, MS)
Entity Type:Individual
Prefix:DR
First Name:KARA
Middle Name:
Last Name:FIRESTONE
Suffix:
Gender:F
Credentials:DC, MS
Other - Prefix:DR
Other - First Name:KARA
Other - Middle Name:
Other - Last Name:GREENBERG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC
Mailing Address - Street 1:400 W CUMMINGS PARK
Mailing Address - Street 2:SUITE 5450
Mailing Address - City:WOBURN
Mailing Address - State:MA
Mailing Address - Zip Code:01801-6519
Mailing Address - Country:US
Mailing Address - Phone:781-281-1086
Mailing Address - Fax:781-281-1843
Practice Address - Street 1:400 W CUMMINGS PARK
Practice Address - Street 2:SUITE 5450
Practice Address - City:WOBURN
Practice Address - State:MA
Practice Address - Zip Code:01801-6519
Practice Address - Country:US
Practice Address - Phone:781-281-1086
Practice Address - Fax:781-281-1843
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-16
Last Update Date:2014-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX011259111N00000X
MA03281111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor