Individual
KATHLEEN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1 ESSEX CENTER DR, PEABODY, MA 01960-2901
(978) 538-4000
Mailing address
41 MALL RD, BURLINGTON, MA 01805-0001
(781) 744-8638
(781) 744-5848
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN2285037
MA
363LA2100X
Acute Care Nurse Practitioner
2014012082
MA
Other
Enumeration date
08/01/2014
Last updated
09/04/2014
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