MEDICARE: MRS. KAY A LOWE BSC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	104100000X	Social Worker

General Provider Information

NPI Number	:	1386954428
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. KAY A LOWE BSC

Provider Business Mailing Address
First Line	:	160 GOULD ST
Second Line	:
City	:	NEEDHAM
State	:	MA
Zip	:	02494-2313
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	160 GOULD ST
Second Line	:
City	:	NEEDHAM
State	:	MA
Zip	:	02494-2313
Country	:	US
Telephone Number	:	781-559-4900
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/07/2010
Last Update Date	:	06/26/2015

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