Individual
MRS. KATE ANN GAGNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
318 MAIN STREET, SUITE 165, NORTHBOROUGH, MA 01532
(508) 936-1657
(888) 355-3778
Mailing address
318 MAIN STREET, SUITE 165, NORTHBOROUGH, MA 01532
(508) 936-1657
(888) 355-3778
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1497
NH
363A00000X
Physician Assistant
PA7015
MA
363A00000X
Physician Assistant
PA7015
NH
Other
Enumeration date
11/03/2018
Last updated
02/27/2020
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