Individual
KATHLEEN M SCANLON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
1 BOSTON MEDICAL CENTER PLACE, BOSTON MEDICAL CENTER-, BOSTON, MA 02118
(617) 638-8497
Mailing address
1 ADAMS ST, STE 703, QUINCY, MA 02169-2000
(617) 770-9988
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
132761
MA
Other
Enumeration date
04/22/2010
Last updated
04/22/2010
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