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Individual

KATHLEEN D MCCONNELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
41 MALL RD, LAHEY CLINIC, BURLINGTON, MA 01805-0001
(781) 744-8000
(781) 744-5245
Mailing address
41 MALL RD, LAHEY CLINIC, BURLINGTON, MA 01805-0001
(781) 744-8000
(781) 744-5245

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
110694
NE
363L00000X
Nurse Practitioner
Primary
RN2279685
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
47078557530
NE
Enumeration date
05/10/2006
Last updated
01/06/2014
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