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Individual

MARTHA KLAY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN, MSN, APRN

Contact information

Practice address
115 EAST ST, GREAT BARRINGTON, MA 01230-1433
(413) 429-6165
(413) 528-6594
Mailing address
115 EAST ST, GREAT BARRINGTON, MA 01230-1433
(413) 429-6165
(413) 528-6594

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
000802
CT
164W00000X
Licensed Practical Nurse
158733
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
004202800
CT
05
0723908
MA
Enumeration date
04/05/2006
Last updated
03/30/2009
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