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Individual

MS. KASSY THOMPSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CPNP

Contact information

Practice address
30 WARREN ST, BRIGHTON, MA 02135-3602
(617) 254-3800
(617) 779-1476
Mailing address
30 WARREN ST, BRIGHTON, MA 02135-3602
(617) 254-3800
(617) 779-1476

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
RN273957
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
MT07422041
STATE CONTROLLED SUBSTANCE
MA
01
RN273957
STATE LICENSE NUMBER
MA
Enumeration date
12/05/2008
Last updated
05/01/2024
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