Individual
DR. KATHLEEN A. PRUCNAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
18 MAIN STREET,, #106, TOWNSEND, MA 01469
(978) 597-5227
(978) 597-5700
Mailing address
18 MAIN STREET,, #106, TOWNSEND, MA 01469
(978) 597-5227
(978) 597-5700
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2842
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0356719
—
MA
Enumeration date
08/07/2006
Last updated
07/08/2007
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