Individual
KATHLEEN MARY CARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
5 INDUSTRIAL DRIVE ROGERS OUTPATIENT CENTER, SUITE 100, MASHPEE, MA 02649
(508) 477-4272
(508) 539-6134
Mailing address
5 INDUSTRIAL DRIVE ROGERS OUTPATIENT CENTER, MASHPEE FAMILY MEDICINE SUITE 100, MASHPEE, MA 02649
(508) 477-4282
(508) 539-6134
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
148085
MA
Other
Enumeration date
02/21/2007
Last updated
05/28/2014
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