Individual
KAITLYN DAWN DRENCKPOHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
30 NORTHAMPTON ST, BOSTON, MA 02118-4098
(617) 433-9601
Mailing address
30 NORTHAMPTON ST, BOSTON, MA 02118-4098
(479) 255-8008
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN2343517
MA
363LF0000X
Family Nurse Practitioner
Primary
RN2343517
MA
Other
Enumeration date
06/26/2020
Last updated
11/16/2023
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