Individual
KATHLEEN BENTLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP-BC
Contact information
Practice address
140 SAMOSET ST STE 2, PLYMOUTH, MA 02360-4802
(508) 209-5362
(508) 209-5393
Mailing address
360 US HIGHWAY 1 BYP UNIT 102, PORTSMOUTH, NH 03801-7105
(603) 410-6700
(603) 319-8308
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN2278851
MA
363LF0000X
Family Nurse Practitioner
Primary
RN2278851
MA
Other
Enumeration date
12/18/2020
Last updated
04/03/2025
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