Individual
MRS. KATHRYN R SMALL
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
133 ORNAC, EMERSON HOSPITAL CREDENTIALS, CONCORD, MA 01742
(978) 287-3167
Mailing address
133 ORNAC, EMERSON HOSPITAL CREDENTIALS, CONCORD, MA 01742
(978) 287-3018
(978) 287-3122
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
232541
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
81023
FALLON
MA
01
—
NP4949
BLUE CROSS BS MA
MA
Enumeration date
03/20/2006
Last updated
07/08/2007
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