Individual
MRS. KATHLEEN H COULOMBE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
164 HIGH ST, GREENFIELD, MA 01301-2613
(413) 774-2222
(413) 774-2225
Mailing address
164 HIGH ST, GREENFIELD, MA 01301-2613
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
148151
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1801955091
TRI CARE
MA
01
—
202253144
UNITED HEALTHCARE
MA
05
—
9749811
—
MA
01
—
NP5533
BLUE CROSS BLUE SHIELD
MA
Enumeration date
12/06/2006
Last updated
09/14/2015
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