Individual
KATHLEEN DOLORES ABSALOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
600 PRIMROSE ST STE 202, HAVERHILL, MA 01830-2659
(978) 556-0100
(785) 560-1019
Mailing address
600 PRIMROSE ST STE 202, HAVERHILL, MA 01830-2659
(978) 556-0100
(978) 681-4507
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
274443
MA
363L00000X
Nurse Practitioner
Primary
RN274443
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1000039976
—
DE
Enumeration date
08/15/2006
Last updated
04/12/2024
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