Individual
KATHERINE ANNE BOURNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
25 HIGHLAND AVE, NEWBURYPORT, MA 01950-3867
(978) 463-1000
Mailing address
690 CANTON ST STE 240, WESTWOOD, MA 02090-2326
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
045623
CT
207L00000X
Anesthesiology Physician
Primary
238026
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2164264
—
MA
Enumeration date
07/23/2007
Last updated
04/11/2022
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