Individual
KIM BEAUDRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
55 LAKE AVE N, WORCESTER, MA 01655-0002
(774) 441-6605
Mailing address
329 CONWAY ST, STE 2, GREENFIELD, MA 01301-1522
(413) 774-2400
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
156137
MA
Other
Enumeration date
01/03/2020
Last updated
08/14/2020
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