Individual
MS. KATELYN S COELHO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1493 CAMBRIDGE ST, CAMBRIDGE, MA 02139-1099
(617) 665-2555
Mailing address
1493 CAMBRIDGE ST, CAMBRIDGE, MA 02139-1099
(617) 665-2555
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
1169368
MA
363A00000X
Physician Assistant
1678
NH
363A00000X
Physician Assistant
Primary
PA7759
MA
Other
Enumeration date
09/04/2020
Last updated
10/19/2022
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