Individual
MRS. KATHRYN MARIE WARREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
55 FOGG RD, WEYMOUTH, MA 02190
(781) 624-8000
(781) 878-6750
Mailing address
141 LONGWATER DR, NORWELL, MA 02061-1632
(781) 792-4121
(781) 878-6750
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
C0005855
MD
363A00000X
Physician Assistant
Primary
PA6579
MA
Other
Enumeration date
08/05/2015
Last updated
01/10/2019
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