Individual
KATHLEEN R WIATER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
63 BEVERLY ST, PITTSFIELD, MA 01201-7303
(413) 441-5488
Mailing address
63 BEVERLY ST, PITTSFIELD, MA 01201-7303
(413) 441-5488
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
119437
MA
Other
Enumeration date
03/07/2024
Last updated
03/07/2024
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