Organization
MARTHA KLAY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARTHA KLAY APRN, RN (OWNER)
(201) 300-6650
Entity
Organization
Contact information
Practice address
115 EAST ST, GREAT BARRINGTON, MA 01230-1433
(413) 429-6165
(201) 773-0182
Mailing address
115 EAST ST, GREAT BARRINGTON, MA 01230-1433
(413) 429-6165
(201) 773-0182
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
158733
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004202800
—
CT
05
—
0723908
—
MA
Enumeration date
01/04/2012
Last updated
01/04/2012
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