Individual
KATHLEEN WHITCOMB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
103 MYRON ST STE A, WEST SPRINGFIELD, MA 01089-1485
(413) 592-1980
(413) 439-0100
Mailing address
138 LAMBERT AVE, WEYMOUTH, MA 02189-2667
(857) 719-4684
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
000000
MA
363LF0000X
Family Nurse Practitioner
Primary
2314004
MA
Other
Enumeration date
01/24/2018
Last updated
07/25/2019
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