Individual
KATHRYN RYAN KINGMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
780 ALBANY ST, BOSTON, MA 02118-2755
(857) 654-1000
Mailing address
780 ALBANY ST, BOSTON, MA 02118-2755
(857) 654-1000
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN2299675
MA
163WC0400X
Case Management Registered Nurse
RN2299675
MA
163WC1500X
Community Health Registered Nurse
Primary
RN2299675
MA
Other
Enumeration date
05/02/2018
Last updated
11/03/2020
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