Individual
KATHLEEN H MAHONEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
41 MALL RD., LAHEY CLINIC, BURLINGTON, MA 01805-0001
(781) 744-7000
(781) 744-5348
Mailing address
41 MALL RD., LAHEY CLINIC, BURLINGTON, MA 01805-0001
(781) 879-3554
(781) 744-5378
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN158310
MA
363LG0600X
Gerontology Nurse Practitioner
158310
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110094167A
—
MA
Enumeration date
01/10/2007
Last updated
06/10/2020
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