Individual
MRS. KATHLEEN MAURA ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
5 THEATER COLONY WAY, PLYMOUTH, MA 02360-2035
(508) 265-1398
Mailing address
5 THEATER COLONY WAY, PLYMOUTH, MA 02360-2035
(508) 265-1398
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
230746
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0706248
—
MA
Enumeration date
04/11/2007
Last updated
07/08/2007
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