Individual
KATHLEEN WADDICOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
300 LONGWOOD AVE, BOSTON, MA 02115-5724
(617) 355-2966
(617) 730-0184
Mailing address
300 LONGWOOD AVENUE, BOSTON, MA 02115-2649
(617) 355-7181
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
137308
MA
Other
Enumeration date
11/14/2006
Last updated
08/20/2007
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