Individual
KATELYN ANNE EAGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
35 S HUNTINGTON AVE UNIT 409, BOSTON, MA 02130-4787
(860) 918-5249
Mailing address
35 S HUNTINGTON AVE UNIT 409, BOSTON, MA 02130-4787
(860) 918-5249
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
06/04/2026
Last updated
06/04/2026
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