Individual
KATHRYN PARKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN C
Contact information
Practice address
639 GRANITE ST, BRAINTREE, MA 02184-5366
(781) 356-8017
(781) 356-8052
Mailing address
639 GRANITE ST, BRAINTREE, MA 02184-5366
(781) 356-8017
(781) 356-8052
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
030361-21
NH
Other
Enumeration date
10/26/2011
Last updated
10/26/2011
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