Individual
VANESSA KIBATHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
26 QUEEN ST STE 13, WORCESTER, MA 01610-2478
(508) 860-7800
(508) 860-7865
Mailing address
26 QUEEN ST STE 13, WORCESTER, MA 01610-2478
(508) 860-7800
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA100772
MA
Other
Enumeration date
01/04/2023
Last updated
02/27/2025
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