Individual
DR. KATHLEEN L TRACY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, CNS
Contact information
Practice address
1 HILARY ST, BOSTON, MA 02129-2507
(617) 412-0162
Mailing address
200 SPRINGS RD, BEDFORD, MA 01730-1114
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
RN116766
MA
Other
Enumeration date
02/18/2020
Last updated
02/18/2020
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