Individual
KATHLEEN JEWELL FOGLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
66 LEWIS BAY RD, CCH BREAST CARE CENTER, HYANNIS, MA 02601-5210
(508) 862-7800
Mailing address
25 COMMUNICATION WAY, MACC - REVENUE CYCLE, HYANNIS, MA 02601-1866
(508) 957-8664
(508) 957-8677
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN281053
MA
Other
Enumeration date
05/28/2010
Last updated
05/28/2010
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