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Individual

KATHERINE E WALTON-VECCHIO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
421 N MAIN ST, LEEDS, MA 01053-9700
(413) 586-8400
Mailing address
421 N MAIN ST, LEEDS, MA 01053-9764
(413) 584-5040

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA5933
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
110126756A
MA
Enumeration date
05/31/2005
Last updated
01/16/2025
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